professional summary jessica claire montgomery street san francisco ca 94105555 4321000 resumesampleexamplecom experienced utilization management coordinator demonstrated history working within medical group health care industry skilled management critical thinking customer service driving overall operational improvements highly dependable ethical reliable support specialist leader blends advanced organizational technical business acumen works effectively crossfunctional teams ensuring operational service excellence skills staff management business administration strategic planning problem resolution business operations relationship development process improvement work history utilization management coordinator allina health systems golden valley mn supervision team management operational improvement ms office policy procedure modification cslink 032018 current executes optimizes utilization management processes hasten authorization review times utilizes insurance websites determine patient assignment works um pharmacist utilizes dofr properly manage risk network structure supports management physicians staff develop streamline processes effectively communicate needs medical group needs patients collaborates supervisors develop streamline workflow created updates training manual department well develops operational plans business development department maintains follows appropriate protocol referrals within cslink maintains internal records prior authorizations approval denial letters relevant documents well managing um work queues collects data analyzation secior pharmacy technician shields health solutions leominster 072012 032018 kept abreast federal state laws california state board pharmacy ensure compliance supervised provided leadership team 11 employees orchestrated workflow directed delegated tasks operational team promote collaborative teamwork positive patient experience maintained pharmacy records arranged pharmacy layout accordingly suit company needs communicated warehouse outside vendors acquire medications ensure adequate supply pharmacy managed daily inventory achieve cost savings goals stay within budgetary constraints analyzed daily metrics data ie script counts wait times inventory reports utilized highlevel directives streamline workflow managed processing filling prescriptions insurance authorizations supply chain management pharmacy upkeep working extremely fast paced work environment operated crossfunctional team member supporting leadership well implementing changes maintain efficiency highperformance store developed training programs assisted orientation coaching new employees well implementing adhering company programs pharmacy program specialist kabafusion saint charles mo planned coordinated organized medication payment delivery patients 072010 072012 implemented education plans aimed providing pharmacies medical offices solutions claims processing management collaborated member services provide strategic resolutions member concerns provided technical support educated providers new protocols policies procedures created built maintained positive working relationships internally externally network providers served liaison providers pharmacies support training communications worked cohesively multiple departments outside vendors coordinate provide care patients education mba university redlands redlands ca 062018 study abroad exchange program bangkok thailand taipei taiwan met management ford motor company seagate technology corning inc discussed obstacles operating asian market versus us market researched reported health insurance system differences thailand taiwan united states transition thailand overcome go multipayer system single payer system contrasted new system current multipayer system place united states bachelor science biology 122015 california state university san bernardinostudy san bernardino ca study abroad exchange program tokyo japan oyama japan met faculty students hakuoh university practice language skills learn japanese culture maintained relationships helped japanese exchange students acclimate csusb undergraduate work ranged multiple scientific concepts performing physiological manipulations plants stem cell research quantitative methods communicating complex concepts class presentations researched gathered organized data analysis