Summary
Overview
Work History
Education
Skills
Timeline
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Misbah Qureshi

Bloomingdale

Summary

Detail-oriented Pharmacist with several years of experience in the Pharmacy Benefit Management (PBM) industry as a Clinical Advisor. Solutions-driven professional with a track-record to optimize clinical programs and support teams cross-functionally to improve member outcomes and provide optimal client satisfaction. Skilled in formulary management, data analysis and communication clinical expertise to operational efficiency. Seeking to leverage clinical and operational expertise to improve strategy and support organizational growth.

Overview

11
11
years of professional experience

Work History

Clinical Operations Advisor

CVS Health
05.2023 - Current
  • Complete clinical analysis to determine optimal formulary and utilization management for health plan
  • Collaborate with team members to clarify and set expectation to design and meet client intent
  • Apply procedures, use tools for analysis and evaluate date to check accuracy of client clinical requirements
  • Review defects during coding and testing processes and help resolve these defects, including consulting with client to clarify the clinical requirements
  • Collected, arranged, and input information into database system.
  • Devised and implemented processes and procedures to streamline operations.

Resident Pharmacist

Express Scripts
05.2022 - 05.2023
  • Meet with account management team weekly to discuss updates with client accounts and discuss clinical trends
  • Advise on cost analysis and report interpretation
  • Support account strategist to build and execute a tactical plan specific to client needs
  • Participate in claims processing, coverage reviews, formulary and client management
  • Present clinical programs tailored to client populations

Insurance Analyst

AbbVie Endocrinology
08.2020 - 06.2021
  • Communicated with pharmacy benefits managers regarding prescription coverage
  • Entered clear and accurate documentation of calls and benefit information in the company system
  • Communicated with health care providers and patients regarding benefits and coverage

Clinical Pharmacy Technician II

CVS Caremark
12.2017 - 02.2019
  • Delivered prompt, courteous service over a busy multi-line phone system
  • Collaborated with healthcare practitioners to optimize patient therapies
  • Entered orders in computer system to be reviewed by the pharmacist

Pharmacy Technician

Walgreens Pharmacy
09.2014 - 12.2017
  • Received, processed, dispensed, and delivered an average of 250 prescriptions daily
  • Processed insurance claims and submitted orders for billing via a computerized system
  • Recorded patient information in computerized software and consulted records for every transaction to ensure safety and health of customers

Education

Doctor of Pharmacy -

Midwestern University
Downers Grove, IL
02.2022

Bachelor of Science - Biology

Northeastern Illinois University
Chicago, IL
12.2017

Skills

  • Operational efficiency
  • Logistics management
  • Quantitative skills
  • Content management expertise
  • Case management
  • Process documentation

Timeline

Clinical Operations Advisor

CVS Health
05.2023 - Current

Resident Pharmacist

Express Scripts
05.2022 - 05.2023

Insurance Analyst

AbbVie Endocrinology
08.2020 - 06.2021

Clinical Pharmacy Technician II

CVS Caremark
12.2017 - 02.2019

Pharmacy Technician

Walgreens Pharmacy
09.2014 - 12.2017

Bachelor of Science - Biology

Northeastern Illinois University

Doctor of Pharmacy -

Midwestern University

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Misbah Qureshi