| Candidate Information | | Name | Available: Register for Free | | Title | Prior Authorization Medicare Part D (REMOTE) | | Target Location | US-PA-Moon Township |
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Click here or scroll down to respond to this candidateCandidate's Name
Interview availability- Mon -Fri Street Address am to 5pm - Anytime is preferredStart Availability ImmediatelyProfessional Summary:Sharon an experienced Pharmacist with active Pennsylvania Pharmacist License.Processed Appeal Redetermination Prior Authorization for Medicare Part D, Part B & Part C.Performed Aetna coverage determination and clinical appeals, prior authorization, maintaining compliance with ERISA and Medicare.Performed duties like Compounding and dispensing medication, timely and accurately.Checked compatibilities and incompatibilities of various medications in an outpatient/inpatient environment.She is a dedicated professional who has strong knowledge of medical terminology and is available to join immediately, if offered.Education:B.S. in Pharmacy, cum laude, University of Pittsburgh, School of Pharmacy Pittsburgh, PA, 1990Licence & Certification:Pharmacist CertificateCertification- RPh PennsylvaniaLicense number: RP037639L, Expiration Date: 09/30/2024Professional Experience:Member Appeals AnalystHighmark Health IncJun 2018 to Oct 2023Processing Appeal Redetermination Prior Authorization for Medicare Part D, Part B & Part C.Member Appeals Analyst (Contractor)Highmark Health IncNov 2015 to Jun 2018Processing Appeal Redetermination Prior Authorization for Medicare Part D drugs.Clinical PharmacistCVSJan 2015 to Jul 2015Aetna coverage determination and clinical appeals, prior authorization, maintaining compliance with ERISA and Medicare.Responsible for reviewing mediation exception requests.Worked as part of the team to meet business unit objectives.Staff Pharmacist ( Part-Time )Health South Harmarville, PittsburghNov 2002 to Jun 2014Compounding and dispensing medication, timely and accurately.Checking compatibilities and incompatibilities of various medications in an outpatient/inpatient environment.Providing drug information to doctors, nurses, patients, and dietary personnel.Supervision of pharmacy students and pharmacy technicians.Staff PharmacistChildrens Hospital of Pittsburgh, Pittsburgh, PAAug 1990 to Oct 2013Preparation of chemotherapy and IV medications.Compounding and dispensing medication, timely and accurately.Checking compatibilities and incompatibilities of various medications in an inpatient environment.Providing drug information to doctors, nurses, patients, and dietary personnel.Supervision of pharmacy students and pharmacy technicians.Working in an acute and critical care setting.Presenting pharmaceutical support at codes.Pharmacy student/ Pharmacy technicianUniversity of Pittsburgh, School of Pharmacy, Pittsburgh, PAAug 1980 to Aug 1990Worked under the supervision of the pharmacist, support personnel.Preparation of IV and prescription medication.Delivery of medication to patients.Working with the pixis system. |
