Khyrsis J. Marquez
Toa Alta
Summary
Accomplished Clinical Pharmacist with a proven track record at Optum, UnitedHealth Group, enhancing patient care through expert medication management and quality assurance controls. Skilled in drug utilization review and fostering strong relationships, I excel in regulatory compliance and customer service. Achieved significant improvements in clinical pharmacy services, demonstrating exceptional documentation skills and therapeutic drug monitoring expertise.
Overview
4
4
years of professional experience
Work History
Clinical Pharmacist
Optum, UnitedHealth Group
11.2020 - Current
- Gather complex clinical information, work within regulatory guidelines to review individual specific cases to render coverage determination for prior authorization or drug utilization requirements (Standard and Specialty medications).
- Support department quality by ensuring all coverage determinations and appeal responses are clinically appropriate and compliant.
- Provide pharmacy services such as consulting, perform new drug reviews, analyze claims for proper adjudication, recommend generic conversion strategies and cost of care analysis.
- Consult with pharmacy technicians, prescribers and patients regarding the use of medications and advise of appropriate formulary alternatives when requested.
- Demonstrate ability to maintain productive working relationships with team members, other internal and external customers, and management team
- Participated in quality improvement initiatives to optimize clinical pharmacy services within the organization.
- Served as a drug information resource for healthcare professionals, improving prescribing practices across the institution.
Pharmacist
Cardinal Health
01.2021 - Current
- Developed strong relationships with healthcare providers to optimize patient care and medication adherence.
- Collaborate with pharmacy team members to develop and implement strategies for continuous improvement in quality of care.
- Provide information and advice regarding drug interactions, side effects, dosage, and proper storage.
- Reduce medication errors within the pharmacy by developing and implementing a continuous quality improvement program.
- Conducte thorough drug utilization reviews to identify potential drug interactions or contraindications, ensuring patient safety.
Staff Pharmacist
Walgreens
01.2021 - 10.2021
- Effectively resolved insurance rejections and other billing issues.
- Checked prescriptions for appropriate dosage, drug interactions, allergies and contra-indications before dispensing medications.
- Supported clinical services such as immunizations administration, leading to increased accessibility for patients in need.
- Provided medication therapy management to patients using Outcomes.
- Recommended OTC devices or medication options to help mitigate individual symptoms.
- Enhanced patient care by providing accurate medication dispensing and thorough counseling on drug interactions.
Education
Doctor of Pharmacy -
Nova Southeastern University, College of Pharmacy
San Juan, Puerto Rico05-2020
Skills
- Drug safety
- Medication expertise
- Puerto Rico (US) licensed pharmacist
- Documentation skills
- Therapeutic drug monitoring
- Drug formulary management
- Drug utilization review
- OTC recommendations
- Quality assurance standards
- Quality assurance controls
- Regulatory compliance
- Customer service and communication skills
Languages
Spanish
Native or Bilingual
English
Native or Bilingual
Timeline
Pharmacist
Cardinal Health
01.2021 - Current
Staff Pharmacist
Walgreens
01.2021 - 10.2021
Clinical Pharmacist
Optum, UnitedHealth Group
11.2020 - Current
Doctor of Pharmacy -
Nova Southeastern University, College of Pharmacy
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