Robert Jones Email & Phone Number | A Doctor of Pharmacy who delivers a timely and accurate product to the patient while following rapidly changing clinical guidelines and responsibilities. Excels in internal and external compliance activities and audits. Builds long term relationships with PBM account managers, prescribers and patients throughout the medical industry. Recognized for excellence in attention to detail and patient safety in regards to drug utilization reviews, CMS/NCQA audits, and formulary development. Integral part of Compliance Committee and Fraud, Waste, and Abuse Team. Establishes loyal coworker relationships and either collaborates with or coaches to exceed expectations. - Lean Six Sigma Yellow Belt - 17+ years of experience in the Pharmaceutical Industry - 9+ years of coverage determinations and appeals - 9+ years of experience with Medicare prescription drug benefits - 5+ years of experience with Commercial/Marketplace prescription drug benefits - 4+ years of retail pharmacy experience with a Doctorate of Pharmacy - Strong communication, leadership, and team building skills - 2+ years of experience in compliance packaging (TCGRx, InspectRx, Doc-U-Dose) - Trainer, coach, teacher, and mentor to my colleagues and technicians for individual and company growth Areas of expertise: Medicare Managed Care Formulary Management HPMS Reporting Acumen Reporting FWA CMS/Marketplace Audits CMS Compliance Writing Pharmacy Business Plans and Policies Writing Clinical Criteria Guidelines Building Professional Relationships with Prescribers Engaging Customers in Product Sales Management of Technicians/Interns Clinical Drug-utilization Reviews Coaching, Training, and Teaching Process Innovation Policy Generation and Documentation Medication Compounding Development of Patient-Pharmacist Relationship Narcotic Medication Inventory

Robert Jones

A Doctor of Pharmacy who delivers a timely and accurate product to the patient while following rapid...
Strongsville, Strongsville, United States

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Robert Jones’s Email jonesr@summacare.com

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Robert Jones’s Location Strongsville, Strongsville, United States

Robert Jones’s Current Industry Summacare

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Work Experience

Summacare

Pharmacist Program Coordinator - Appeals and Compliance

2019-06-01 00:00:00 - Present

Cvs Health

Clinical Pharmacist, Medicare Coverage Determinations and Appeals

2016-11-01 00:00:00 - 2019-06-01 00:00:00

Express Scripts

Clinical Pharmacist, Coverage Review Department

2015-01-01 00:00:00 - 2016-01-01 00:00:00

Exactcare Pharmacy

Clinical Pharmacist

2013-01-01 00:00:00 - 2015-01-01 00:00:00

Kleins Pharmacy

Pharmacist

2015-01-01 00:00:00 - 2015-01-01 00:00:00

Discount Drug Mart

Staff Pharmacist

2010-01-01 00:00:00 - 2013-01-01 00:00:00

Meijer

Pharmacy Intern

2008-01-01 00:00:00 - 2010-01-01 00:00:00

Skills

No Skills Available

Languages

No Languages Available

FAQ About Robert Jones

Robert Jones is located at
Strongsville, Strongsville, United States

Robert Jones is a A Doctor of Pharmacy who delivers a timely and accurate product to the patient while following rapidly changing clinical guidelines and responsibilities. Excels in internal and external compliance activities and audits. Builds long term relationships with PBM account managers, prescribers and patients throughout the medical industry. Recognized for excellence in attention to detail and patient safety in regards to drug utilization reviews, CMS/NCQA audits, and formulary development. Integral part of Compliance Committee and Fraud, Waste, and Abuse Team. Establishes loyal coworker relationships and either collaborates with or coaches to exceed expectations. - Lean Six Sigma Yellow Belt - 17+ years of experience in the Pharmaceutical Industry - 9+ years of coverage determinations and appeals - 9+ years of experience with Medicare prescription drug benefits - 5+ years of experience with Commercial/Marketplace prescription drug benefits - 4+ years of retail pharmacy experience with a Doctorate of Pharmacy - Strong communication, leadership, and team building skills - 2+ years of experience in compliance packaging (TCGRx, InspectRx, Doc-U-Dose) - Trainer, coach, teacher, and mentor to my colleagues and technicians for individual and company growth Areas of expertise: Medicare Managed Care Formulary Management HPMS Reporting Acumen Reporting FWA CMS/Marketplace Audits CMS Compliance Writing Pharmacy Business Plans and Policies Writing Clinical Criteria Guidelines Building Professional Relationships with Prescribers Engaging Customers in Product Sales Management of Technicians/Interns Clinical Drug-utilization Reviews Coaching, Training, and Teaching Process Innovation Policy Generation and Documentation Medication Compounding Development of Patient-Pharmacist Relationship Narcotic Medication Inventory

Robert Jones currently works in the Summacare |

No Languages Available

Robert Jones has prior
experience in the following industries:
Cvs Health | Express Scripts | Exactcare Pharmacy | Kleins Pharmacy | Discount Drug Mart | Meijer

Robert Jones has the following professional experience:
Summacare | Cvs Health | Express Scripts | Exactcare Pharmacy | Kleins Pharmacy | Discount Drug Mart | Meijer