Pharmacy Benefit Manager Resume Samples

A Pharmacy Benefit Manager takes responsibility for handling, administering, and managing the drug benefit programs for the employer or health plans. While duties vary based on the employers’ requirements, the following are certain core duties that are mentioned on the Pharmacy Benefit Manager Resume – negotiating rebates; operating mail orders, overseeing patient compliance, performing drug utilization reviews, processing claims, maintaining formularies; managing distribution among a network of pharmacies, and providing specialty pharmacy services.

To fulfill the several responsibilities, the manager is expected to possess certain qualifications in the following forms – extensive medical terminology knowledge, pharmaceutical storage awareness, familiarity with pharmaceutical distribution; strong background in pharmacy benefits, set up and implantation; and counting and pouring expertise. A Pharmacy-related diploma is commonplace among job applicants.

 

Pharmacy Benefit Manager Resume example

Pharmacy Benefit Manager Resume

Headline : Looking to secure a Pharmacy Benefit Manager position that will enable me to use my strong communication & organizational skills, customer service background, and my ability to work well with people. Also looking for a company that I can grow with.

Skills : Mircosoft outlook, Multitasking, Customer Service.

Description :

    1. Responsible for answering 50 to 100 inbound calls daily from members to -Refill prescriptions -Send out requests to Dr.
    2. Helped guide members through their benefits information (Deductible, Out of pocket, etc.) and answered questions appropriately.
    3. Escalated callers with drug-related questions to the Pharmacist.
    4. Provided quotes to members with an estimated cost of medications when using Prime Mail, mail order pharmacy vs. local pharmacy.
    5. Awarded multiple certificates for very satisfied surveys from members.
    6. Met all performance goals such as first call resolution, quality calls, and customer satisfaction, all while providing world-class customer service.
    7. Answered inbound calls from pharmacies and doctor offices.
Years of Experience
Experience
5-7 Years
Experience Level
Level
Executive
Education
Education
High School Diploma


Pharmacy Benefit Manager Resume

Headline : As a Pharmacy Benefit Manager, responsible for Working with internal government and legal experts to monitor the latest government contracting and reporting requirements, and ensures government pricing implications are identified and considered.

Skills : Microsoft Office, Office Management, Operations, Cash Handling, Carpentry.

Description :

    1. Directed daily operations of Member Services Contact Center ensuring member and client satisfaction and retention.
    2. Directed management to maintain consistent service levels utilizing scheduling efficiencies.
    3. Responsible for smooth implementation of new groups support existing strategies while seeking improvements of same for improved client retention.
    4. Connected with employees at all levels seeking new ideas and rewarding same.
    5. Maintained internal program to ensure service excellence at a consistently high level.
    6. Consistently met or exceeded organizational goals for call volume, response time, and satisfaction; exceeds performance guarantees including an ASA under 30; abandons under 3% and First Call Resolution of 98%.
    7. Streamlined call center staffing inspiring or moving out under-performers, adding levels that created internal positions for growth rewarding those who perform at high levels.
Years of Experience
Experience
5-7 Years
Experience Level
Level
Executive
Education
Education
GED


Pharmacy Benefit Manager Resume

Objective : Hardworking, organized, Pharmacy Benefit Manager professional with a proven background delivering sensible business technology solutions on time and under budget while working as a team member or team leader.

Skills : Type 45WPM, Excellent Communication, Quick Learner.

Description :

    1. Presented Facility Coordinator Perform administrative and clerical tasks that include invoicing, purchasing of facility supplies, custodial supplies, monitor copy machines, and process work orders.
    2. Coordinated the Fire and Shelter in Place Drills once a year with the Safety team of ESI-Pueblo.
    3. Conducted New Hire Employee Orientation for Facilities/Safety.
    4. Processed incoming and outgoing US Postal Services, FedEx, UPS, and Staples deliveries.
    5. Maintained and issued keys to new and existing employees for offices and furniture.
    6. Operated, maintained, and arranged all service for mailing equipment including postage meter, copy machines, biohazardous equipment, and all vending machines.
    7. Coordinated with the Facility Manager to put forth the demands, difficulties, and suggestions of the workers.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Executive
Education
Education
BS

Pharmacy Benefit Manager Resume

Objective : Seeking a Pharmacy Benefit Manager position with an outstanding career opportunity that will offer a rewarding work environment along with a winning team that will fully utilize management skills.

Skills : MS office, Auditing, Multitasking.

Description :

    1. Claims Auditor Assisted United Health Care/AARP members with ordering medications through the mail-order pharmacy.
    2. Refilled medications, Send PSC request to members doctors if they need new prescriptions.
    3. Handled calls in high call volume in a timely manner.
    4. Claims Auditor completed claims for retail pharmacies and mail order.
    5. Provided accurate and appropriate information in response to customer inquiries.
    6. Properly directed inbound calls in phone queues to improve call flow.
    7. Helped support the HR/Facilities department with special projects.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Executive
Education
Education
G.E.D

Pharmacy Benefit Manager Resume

Headline : To establish a long-term career in a company where I may utilize my Pharmacy Benefit Manager professional skills and knowledge to be an effective Pharmacy Benefit Manager and inspiration to those around me.

Skills : MS Office, Planning, Supervising.

Description :

    1. Temporarily assigned as a pharmacy benefit manager.
    2. Provided accurate information on insurance benefits for pharmaceuticals.
    3. Knowledgeable of HIPPA laws, policies, and procedures to ensure quality customer service.
    4. Facilitated resolution on calls with issues regarding drug coverage.
    5. Maintained proper documentation of every call for future reference.
    6. Effectively resolved insurance rejections and other billing issues.
    7. Performed technical processes required to dispense medications to patients.
Years of Experience
Experience
5-7 Years
Experience Level
Level
Executive
Education
Education
AS in Accounting

Pharmacy Benefit Manager Resume

Objective : Pharmacy Benefit Manager with 5 years of experience in Utilizing sophisticated analytical techniques to analyze and monitor customer compliance and performance against contract terms and keeps the RAE/NAE informed on an ongoing and regular basis.

Skills : Committed Team Player,  Cash Handling, Expert Quick Learner.

Description :

    1. Effectively communicated within our team and with the client was vital to the success of each project.
    2. Created PowerPoint presentations for meetings.
    3. Learned PBM business operations through OJT and classroom training for departments within Med-Impact.
    4. Assisted the pharmacists with checking in and pricing drug orders, third party transactions, and relevant paperwork.
    5. Worked closely with Pharmacy Care Representatives (PCRs) in providing excellent patient care.
    6. Improved management of departmental costs by better monitoring of call flows.
    7. Implemented call center splits for improved efficiency, implemented training initiatives for improved service Implemented and expanded training program, adding key elements that ensured high-quality expectations Successfully lead the implementation of new ACD system for contact center Expanded existing call center to 3 times its size in response to growing business needs while maintaining a high level of service expectations.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Executive
Education
Education
High School Diploma

Pharmacy Benefit Manager Resume

Objective : Seeking a Pharmacy Benefit Manager position, responsible for Acting as a liaison with the brand team, on behalf of the RAE/NAE, to ensure all contracts are structured to be consistent with brand strategy and to maximize value creation for all stakeholders.

Skills : Microsoft Office Suite, Organizational, Clerical, Scheduling, Multi-Line Phone System.

Description :

    1. Helped guide pharmacies with running claims correctly using the RxClaims system.
    2. Assisted pharmacies with claim rejections.
    3. Coordinated with HR to let the former employee know the time limit to retrieve personal belongings.
    4. Get directly involved when needed.
    5. Actively managed financial performance.
    6. Ensured accountability for results.
    7. Conducted sophisticated analyses of potential savings for BMS with consideration of the customers perspective of contracted versus non-contracted revenue and works closely with the RAE/NAE and integrated customer team to evaluate appropriate options and strategies for leveraging additional value-creating opportunities.
    Years of Experience
    Experience
    2-5 Years
    Experience Level
    Level
    Junior
    Education
    Education
    GED

    Pharmacy Benefit Manager Resume

    Objective : Highly qualified Pharmacy Benefit Manager with experience in the industry. Enjoy creative problem solving and getting exposure on multiple projects, and would excel in the collaborative environment on which your company prides itself.

    Skills : Professionalism, Organizational, Ability To Identify And Anticipate Needs, Flexibility, Problem Solving.

    Description :

      1. Assisted in probing and decoding of medical billing issues Offered solutions to issues by researching and clarifying.
      2. Answered pharmacy calls about MBR benefits helped pharmacy process claims gave information about the MBR plan Accomplishments 100% on quality better.
      3. Adjudicated claims to ensure payment Compiled pharmacy benefits information and assistance to existing pharmacy members Administered customers.
      4. Managed billing information for all patients, create work schedules, schedule/conduct interviews, gather patient information for over 300 facilities, .
      5. Trained employees on procedures, new software, and created training documents for future new-hires.
      6. Acted as a liaison for all departments and serves as a subject matter expert to the Call Center.
      7. Processed pharmacy claims Administer rebates Communicate with patients and physicians.
      Years of Experience
      Experience
      2-5 Years
      Experience Level
      Level
      Executive
      Education
      Education
      Master's In Counseling

      Pharmacy Benefit Manager Resume

      Objective : As a Pharmacy Benefit Manager, responsible for managing and developing direct reports who include other supervisory personnel and ensures the delivery of superior pharmacy operations service and member satisfaction.

      Skills : Communication SKills, Pharmacist, Customer Service.

      Description :

        1. Effectively expressed ideas and information in writing and verbally to individuals and groups at all levels using two-way communication and a high impact communication style.
        2. Demonstrated skill in organizing, leading, and inspiring individuals toward the pursuit of customer satisfaction in a rapidly changing environment.
        3. Driven disciplined, fact-based decisions.
        4. Driven change and innovation through continually seeking and implementing innovative solutions; thrive on continuous change; inspire people to stretch beyond their comfort zone; take well - reasoned risks on 'what has always been done' and change direction, as required.
        5. Modeled and demanded integrity and regulatory compliance.
        6. Executed with discipline and urgency; drive exceptional performance.
        7. Delivered value to the customer.
                      Years of Experience
                      Experience
                      2-5 Years
                      Experience Level
                      Level
                      Junior
                      Education
                      Education
                      G.E.D

                      Pharmacy Benefit Manager Resume

                      Objective : Pharmacy Benefit Manager with 3 + years of experience in developing, managing, and monitoring performance for production, quality, and compliance as clinical criteria justifications, prior authorization and non-formulary review decisions, and application of department workflow processes.

                      Skills : Planning, Communication, Multitasking.

                      Description :

                        1. Provided strategic planning, direction, and leadership in direct support of UnitedHealthcare Employer & Individual integrated medical & pharmacy growth and retention initiatives for existing OptumRx. 
                        2. Integrated accounts, as well as certain standalone pharmacy clients where UnitedHealthcare Employer & Individual segments have an existing or targeted relationship.
                        3. Understood the competitive landscape and effectively position pharmacy management programs, participating as account management lead for pharmacy in best and final meetings, industry forums, broker and consultant meetings.
                        4. Implemented effective pharmacy strategy and goals which are aligned with and supportive of those of the company and our customers.
                        5. Networked, collaborated and consensus built.
                        6. Used internal networks to get things done.
                        7. Utilized the assistance of others who have a stake in the outcome and proactively participate in achieving customer satisfaction and service performance in a continually changing environment.
                                Years of Experience
                                Experience
                                2-5 Years
                                Experience Level
                                Level
                                Executive
                                Education
                                Education
                                GED