Pharmacy operations professional with nearly 9 years of experience overseeing Grievance and Appeals, Prior Authorization, and Prescription Processing functions within fast-paced healthcare environments. Skilled in leading teams to achieve high standards of accuracy, productivity, and SLA compliance while ensuring exceptional patient care and regulatory adherence. Experienced in reviewing clinical documentation, resolving complex prescription and benefit-related issues, and collaborating with healthcare providers, patients, and cross-functional teams to ensure timely and accurate case resolution. Known for strong analytical and problem-solving abilities, process optimization expertise, and a commitment to mentoring staff and fostering continuous improvement to drive operational excellence and customer satisfaction.
