Erin Doyle
Huntington Beach
Summary
Experienced Pharmacy Professional specializing in managing pharmacy benefit programs and clinical services. Enhanced medication safety and compliance through effective formulary management and prior authorization processes, while delivering integrated support to patients and healthcare providers. Focus on improving patient outcomes through education and innovative medication management strategies.
Overview
20
20
years of professional experience
1
1
Certification
Work History
Specialty Pharmacy Technician
Shields Health Solutions
06.2025 - 10.2025
- Provide "legendary" care to hospital patients by providing a full suite of custom medication management services.
- An off-site member of the clinic team providing prior authorization, financial assistance, patient medication on-boarding services, and patient refill/renewal support.
- Educate prospective pharmacy patients on how the hospital pharmacy serves patients and improves their overall care.
- Handle all medication needs of patients.
- Grow the specialty pharmacies patient population by strictly adhering to Shields' programs and processes with enthusiasm and purpose.
Specialty Prior Auth Review Technician
CVS Specialty
07.2024 - 11.2024
- Working on incoming cases via phone (primarily) or fax to process coverage requests from members or prescribers.
- Conducted outreach to patients and providers to gather additional information for processing requests.
- Researched and corrected issues in the authorization process to ensure accurate and timely coverage determinations.
- Reported issues to Coverage Determination Clinical Pharmacists and Management team.
- Reading, analyzing, and interpreting general business correspondence, technical procedures, and governmental regulations.
- Dedicated Specialty Prior Auth Review Technician with extensive experience in processing authorization requests to ensure compliance with insurance regulations.
- Skilled in evaluating medical necessity and collaborating with healthcare providers to gather supporting documentation.
- Proficient in utilizing electronic health records and prior authorization systems to streamline workflow and enhance productivity.
Specialty PA Request Reviewer
Molina Healthcare
08.2023 - 12.2023
- Develop and monitor formulary management, prior authorization, and cost management strategies.
- Educated patients and collaborated with medical staff to enhance therapeutic outcomes.
- Review drug utilization patterns and provide clinical pharmacy services.
- Educate patients and interact with medical staff to optimize therapeutic outcomes.
- Identified operational issues and communicated resource needs to management for resolution.
- Streamlined pharmacy operations to improve workflow efficiency and increase patient satisfaction.
- Pioneered a patient education initiative that improved treatment compliance.
- Identify operational issues and report resource needs to management.
Medicare Part B PA Reviewer
Centene Corporation
01.2023 - 08.2023
- Reviewed physician and pharmacy requests for prescription drugs, ensuring adherence to compliance guidelines and optimizing review accuracy.
- Collaborated with medical groups to enhance prior authorization processes, resulting in improved workflow efficiency.
- Resolved complex issues related to Medicaid, Medicare, and Exchange programs efficiently.
- Analyzed pharmacy benefit reviews to ensure optimal resource utilization and enhance accuracy.
- Managed medication authorization for Medicaid, ensuring compliance and accuracy.
- Streamlined drug request processes, enhancing efficiency and member satisfaction.
- Analyzed pharmacy benefit requests to ensure optimal use of resources.
- Implemented new protocols to improve the prescription review process.
- Reduced medication approval times by optimizing procedural workflows.
Oncology Pharmacy Technician
UnitedHealth Group
04.2020 - 01.2023
- Managed specialty patient records, ensuring accuracy and compliance with healthcare regulations.
- Prepared and processed prescriptions efficiently, reducing errors and improving patient satisfaction.
- Coordinated outbound calls to patients, payors, and healthcare providers to streamline medication deliveries.
- Handled inventory management and shipping, maintaining optimal stock levels and timely dispatch.
- Provided exceptional patient services, addressing inquiries and resolving issues promptly.
- Boosted inventory system accuracy through meticulous management, reducing errors.
Retail Certified Pharmacy Technician
CVS Pharmacy
01.2020 - 04.2020
- Maintained consistent inventory functions, ensuring reliable medication availability.
- Established clear communication channels for inventory management across stores.
- Streamlined drug dispensation processes for enhanced patient satisfaction and care.
- Streamlined drug dispensation processes, improving patient satisfaction and care delivery.
- Balanced efficiency with accuracy in triaging pharmacy tasks, enhancing workflow.
- Enhanced drug safety protocols, decreasing dispensing errors.
- Partnered with healthcare providers to deliver critical medications efficiently.
- Enhanced drug safety protocols, reducing dispensing errors and increasing patient safety.
Technician
Closed Door Pharmacy
09.2019 - 11.2019
- Facilitated communication between customers and pharmacists, ensuring accurate medical histories.
- Streamlined prior authorization and third-party billing processes, enhancing workflow efficiency.
- Managed patient data with precision, supporting billing and regulatory compliance activities.
- Answered customer inquiries and organized inventory, reducing wait times and improving service.
- Ensured compliance with regulatory standards, maintaining high-quality pharmacy operations.
- Facilitated team adherence to health regulations, ensuring safe pharmacy operations.
- Assessed and streamlined the prior authorization process to boost efficiency.
- Provided critical support in patient information verification and medication.
Home Infusion Coordinator/Certified IV
CVS Coram Home Infusion
04.2019 - 10.2019
- Maintained pharmacy cleanroom suite to 797 standards, ensuring sterility and compliance.
- Documented IV admixture and sterility testing, managing inventory and storage effectively.
- Enhanced patient care by streamlining IV compounding processes, ensuring timely medication delivery.
- Supported clinical staff by managing inventory, ensuring availability of necessary medication for patient care.
- Implemented cutting-edge technology to optimize cleanroom operations, enhancing workflow efficiency.
- Conducted detailed documentation and sterility testing, improving pharmacy compliance and patient safety.
Specialist/IV Compounding Tech/Inventory Coordinator
High Touch Specialty Team Rx
12.2018 - 01.2019
- Functioned as primary contact for Regional Account Manager and doctor offices, promoting effective communication.
- Coordinated orders for prescriptions and patient refills, ensuring timely delivery.
- Handled imaging and data entry, resolving third-party rejections to improve processing efficiency.
- Streamlined order coordination processes to enhance operational workflow.
- Resolved third-party rejections, optimizing Rx order workflows and patient satisfaction.
- Implemented efficient imaging and data entry processes to enhance service delivery.
- Ensured accurate and timely medication refills to enhance patient care.
Enrollment Administrator
Pharmaceutical Client Program
10.2018 - 12.2018
- Advocated McKesson contracts with pharmaceutical companies, ensuring comprehensive support for patients.
- Guided patients through client support programs, improving access to vital resources.
- Answered and supported drug manufacturer client inquiries from point of sale to program enrollment.
- Ensured all client questions were addressed, improving overall satisfaction and program participation.
- Optimized client enrollment process in support programs, increasing service responsiveness.
- Delivered thorough support to resolve client queries, boosting satisfaction and engagement.
- Managed detailed contract advocacy, ensuring precision in client pharmaceutical support.
- Collaborated closely with drug manufacturers to optimize patient program.
- Facilitated client engagement during McKesson operations.
Senior Medicaid Prior Auth Technician
Aetna, a CVS Health Company
10.2017 - 08.2018
- Coordinated Medicaid and Medicare pharmacy services, improving service efficiency.
- Coordinated Medicaid and Medicare pharmacy services to enhance service delivery.
- Managed high-volume pharmacy requests, ensuring compliance with clinical guidelines.
- Handled high-volume call center duties while ensuring effective communication with stakeholders.
- Ensured compliance with Federal and State laws, regulations, and company policies.
- Maintained compliance with health regulations, collaborating across departments.
- Streamlined pharmacy services to improve coordination between Medicaid and Medicare programs.
- Handled high volume call center duties, maintaining quality communication.
- Supported case managers to enhance medication therapy, improving patient outcomes.
MailOrder Tech, Trainer, Grievance/Appeals Senior Clinical Pharmacy
Magellan Rx Management
12.2015 - 09.2017
- Assisted members, pharmacies, and providers with pharmacy benefits and claims processing.
- Handled prior authorization requests via phone, fax, and mail order services.
- Participated in senior tech duties and Supervisor calls, contributing to process improvements.
- Collaborated with upper management to enhance organizational processes.
- Boosted process efficiency by engaging in upper management meetings for strategic improvements.
- Managed complex claims and PA requests, ensuring accuracy and compliance with healthcare regulations.
- Elevated customer satisfaction by resolving issues swiftly, evidenced by receiving over 20 compliments.
- Implemented new mail order service techniques that enhanced user experience and operational flow.
- Tech-PA Hybrid Remote
Dermatological Rx PA Coordinator
GenRx Pharmacy
03.2015 - 12.2015
- Handled inbound calls from prescribers and patients, ensuring accurate and timely communication.
- Managed inventory, packing, and shipping, ensuring optimal stock levels and timely deliveries.
- Registered patient information and managed third-party billing, improving data accuracy.
- Processed refill authorizations and fulfilled prescriptions, enhancing operational efficiency.
- Streamlined patient info registration, enhancing data processing efficiency.
- Ensured accuracy in patient data entry and medication fulfillment processes.
- Temp Role
Pet Rx Compounding Specialist
Roadrunner Pharmacy
08.2014 - 01.2015
- Coordinated and processed new and refill pet medication orders, ensuring timely and accurate fulfillment.
- Resolved prescription issues promptly, ensuring seamless service delivery.
- Managed new/refill prescription processing, ensuring accuracy and compliance.
- Entered prescriptions into the pharmacy system, maintaining high accuracy and compliance.
- Streamlined patient order workflows, reducing processing times and errors.
- Communicated with veterinary offices and pet owners to obtain necessary authorizations.
- Streamlined patient order workflows to reduce processing times and minimize errors.
- Facilitated medication orders for veterinary staff and pet owners, improving overall service quality.
- Facilitated onsite interactions with veterinary staff to ensure effective communication.
Coordinator
Avella Specialty Pharmacy
12.2013 - 07.2014
- Streamlined Rx intake and entry processes, improving efficiency and accuracy.
- Streamlined Rx intake process, boosting efficiency and customer satisfaction.
- Streamlined Rx intake and entry processes, enhancing efficiency and accuracy in medication handling.
- Resolved billing issues by liaising with insurance, reducing claim rejections.
- Assisted patients with complex medication needs, enhancing treatment accessibility.
- Managed specialty medication inventory to maintain optimal stock levels and ensure availability for patients.
- Delivered exceptional customer service, accurately processed prescriptions, and managed inventory.
- Resolved billing issues by coordinating with insurance, facilitating timely medication access and reducing claim rejections.
- Oversaw contract agreements to ensure compliance and effectiveness
Liaison
Humana Right Source Mail Order Pharmacy
07.2012 - 10.2013
- Resolved member issues by connecting members, representatives, nurses, and pharmacists.
- Managed complex medication inquiries, ensuring accurate data relay between healthcare.
- Triaged calls needing pharmacist consultation, improving call resolution efficiency.
- Triaged calls requiring pharmacist consultation, streamlining call resolution process.
- Processed mail order medication return requests, ensuring accurate and timely handling.
- Answered area-specific questions and assisted with medication research.
- Utilized Microsoft Word/Excel to maintain records and track member interactions.
- Pioneered member education initiative, enhancing medication compliance and positively impacting health outcomes.
- Facilitated onsite support for team operations.
Lead Inventory Specialist/Certified IV Tech
Salibas Extended Care Assisted Living/Skilled Nursing Care
08.2009 - 07.2012
- Handled refill requests and accurate billing using Docutrak and QS1 software, ensuring precise medication management.
- Verified fax accuracy with behavioral health homes/facilities, enhancing communication and patient care.
- Compounded IV medications and filled narcotics, maintaining strict inventory control for all products for assisted living facilities.
- Managed medication inventory, ensured accurate counts and safe storage, streamlined pharmacy operations.
- Enhanced patient safety by meticulous verification of medication orders and compounding accuracy.
- Partnered with healthcare providers to confirm prescription details, boosting patient care quality.
- Resolved discrepancies in medication inventory, preventing potential errors and ensuring safety.
- Implemented efficient tracking systems for narcotics, enhancing regulatory compliance and safety.
- Processed daily drug orders, improving accuracy and streamlining operations.
Administrative Assistant
John C. Lincoln Hospital
Phoenix
01.2011 - 06.2011
- Volunteer in the Pharmacy Area at John C. Lincoln Hospital assisting with transport of medications to the various areas of the hospital for use.
Administrative Assistant
STAFF/TEMPS PER DIEM STAFFING
01.2009 - 08.2009
- Delivered temporary clerical and customer service support, enhancing office efficiency and client satisfaction.
- Managed front desk operations, directing inquiries to appropriate departments, ensuring smooth communication.
- Handled high-volume call-center tasks, resolving customer issues promptly, improving service quality.
- Executed diverse administrative duties, contributing to seamless daily operations and team collaboration.
- Administered multi-departmental communications, ensuring seamless operations.
- Streamlined customer inquiries, enhancing response efficiency and satisfaction.
- Contract Onsite
Senior Inventory Specialist
CVS Pharmacy
02.2008 - 08.2008
- Answered phones, screened calls for Pharmacist, managed patient profiles using computer system.
- Received and verified prescriptions, translated sig codes, handled inventory, ordered and stocked drugs.
- Communicated with insurance companies, resolved issues, retrieved discontinued/expired meds.
- Prepared medication through reconstitution, counted tablets, generated labels.
- Managed drug inventory levels, ensuring optimal stock.
- Enhanced patient care by efficiently managing medication stock.
- Streamlined drug ordering process, reducing wait times.
- Assisted pharmacists in patient profile management for improved service.
- Implemented a robust drug retrieval system, enhancing safety.
Retail Certified Pharmacy Technician
Walgreen Pharmacy
10.2005 - 11.2007
- Interpreted prescriptions accurately, consulted with doctors when necessary, and performed precise calculations.
- Delivered exceptional customer service, ensuring accurate patient information and insurance verification.
- Managed inventory with accurate on-hand counts and removed expired items to ensure medication safety.
- Managed inventory maintaining accurate on-hand counts, and removing expired items, ensuring medication safety.
- Streamlined patient data verification processes to improve workflow efficiency.
- Analyzed and resolved third-party billing issues, reducing discrepancies and improving patient satisfaction.
- Responded to drive-thru and phone inquiries, facilitating timely assistance for customer needs.
- Implemented innovative strategies to maintain accuracy and quality in prescription management.
Education
Diploma (GED) -
Glendale Community College
Glendale, AZSkills
- Chronic disease management
- CMS Hospital experience
- Sliding fee scale management
- Claim investigation
- Mixture and solution calculations
- Productivity software
- Out of stock medication
- Tablet dosage calculations
- Adobe Acrobat
- Dispensing prescriptions
- Claim resolution
- Clinical pharmacy experience
- Pharmacy software
- Basic math
- Drug regulation
- IV compounding
- CMS regulatory compliance
- Medicare
- Hiring
- Patient outreach
- Medicare and Medicaid services
- Pharmacy technician experience
- Account management
- Leadership
- Drug order put-away
- Regulatory compliance research
- Patient medication counseling
- Attention to detail
- Microsoft Office
- Project management
- Network management
- Health insurance authorizations
- Pharmacy operations
- Insurance third-party billing
- EMR/EHR
- Quality improvement
- Volume conversion calculations
- IV infusion
- Pharmacy customer complaint resolution
- HIPAA
- Task prioritization
- Correct Prescription Errors
- Inventory management
- Clinic experience
- Prescription intake
- Sterile IV admixture procedures
- Team management
- Team development
- Data entry
- Medical claims
- Phone etiquette
- Relationship management
- Microsoft Excel
- State and federal pharmacy laws
- McKesson LTC pharmacy
- Computer literacy
- Aseptic technique
- Patient care
- CRM systems
- Medical terminology
- Databases
- Closing sales
- Medication management
- Phone triage
- Patient service coordination
- Pharmacies (work setting)
- Medical billing
- Problem-solving
- Analytical skills
- Customer support
- Non-sterile compounding
- Medical office experience
- Pharmacy inventory replenishment
- Microsoft Outlook
- Prescription labeling
- EHR systems
- English
- Ordering medications
- Organizational skills
- Communication skills
- Pharmacy benefit management
- Compounding Medications
- Order entry
- Insurance claim form preparation
- Prescription order interpretation
- State healthcare regulations
- Prescription processing
- Regulatory compliance
- Sales support
- Healthcare billing investigations
- Insurance prior authorization
- Care coordination
- Time management
- Prescription verification
- Quality audits
- Rx1 Software
- Maintaining patient confidentiality
- Inpatient
- Data classification
- Continuous improvement
- Patient service
- Medication administration
- Medication dispensing
- Data analysis
- Managed care
- Claims processing
- Customer service
- Patient care coordination
- Team leadership
- Patient inquiry management
- Healthcare collaboration
- Medication management
- Prior authorization processing
- Patient education
- Inventory control
- Compliance maintenance
- Pharmacy compliance
- Inventory cost control
- Problem-solving
- Communication effectiveness
- Sterile technique
- Patient records
- Adherence monitoring
- Dosage form preparation
Certification
- PTCB Certification
- NHA Certified Pharmacy Technician (CPhT)
- ICH Good Clinical Practice (GCP) certificate, Any valid issuer for CA
- Driver's License
- Pharmacy Technician Certification
- Pharmacy Technician License
- Food Handler Certification
- Registered Pharmacy Technician
Additional Information
Authorized to work in the US for any employer
Timeline
Specialty Pharmacy Technician
Shields Health Solutions
06.2025 - 10.2025
Specialty Prior Auth Review Technician
CVS Specialty
07.2024 - 11.2024
Specialty PA Request Reviewer
Molina Healthcare
08.2023 - 12.2023
Medicare Part B PA Reviewer
Centene Corporation
01.2023 - 08.2023
Oncology Pharmacy Technician
UnitedHealth Group
04.2020 - 01.2023
Retail Certified Pharmacy Technician
CVS Pharmacy
01.2020 - 04.2020
Technician
Closed Door Pharmacy
09.2019 - 11.2019
Home Infusion Coordinator/Certified IV
CVS Coram Home Infusion
04.2019 - 10.2019
Specialist/IV Compounding Tech/Inventory Coordinator
High Touch Specialty Team Rx
12.2018 - 01.2019
Enrollment Administrator
Pharmaceutical Client Program
10.2018 - 12.2018
Senior Medicaid Prior Auth Technician
Aetna, a CVS Health Company
10.2017 - 08.2018
MailOrder Tech, Trainer, Grievance/Appeals Senior Clinical Pharmacy
Magellan Rx Management
12.2015 - 09.2017
Dermatological Rx PA Coordinator
GenRx Pharmacy
03.2015 - 12.2015
Pet Rx Compounding Specialist
Roadrunner Pharmacy
08.2014 - 01.2015
Coordinator
Avella Specialty Pharmacy
12.2013 - 07.2014
Liaison
Humana Right Source Mail Order Pharmacy
07.2012 - 10.2013
Administrative Assistant
John C. Lincoln Hospital
01.2011 - 06.2011
Lead Inventory Specialist/Certified IV Tech
Salibas Extended Care Assisted Living/Skilled Nursing Care
08.2009 - 07.2012
Administrative Assistant
STAFF/TEMPS PER DIEM STAFFING
01.2009 - 08.2009
Senior Inventory Specialist
CVS Pharmacy
02.2008 - 08.2008
Retail Certified Pharmacy Technician
Walgreen Pharmacy
10.2005 - 11.2007
Diploma (GED) -
Glendale Community College