In my previous role at XYZ Pharmacy, I was responsible for reviewing and approving medication prior authorizations, ensuring they met clinical criteria and cost-effectiveness. I collaborated with physicians and insurance companies to optimize drug therapy plans, reducing unnecessary expenses and improving patient outcomes. This experience honed my skills in evidence-based medicine and decision-making, aligning with the principles of utilization management.

I prioritize tasks by assessing their urgency and impact on patient care. Using tools like task lists and calendars, I organize my day to address critical issues first. I also maintain open communication with my team to delegate tasks effectively and ensure timely completion. This approach helps me manage stress and deliver high-quality results even in high-pressure situations.

I ensure compliance by regularly updating my knowledge of the formulary and changes in medication guidelines. I conduct thorough medication reviews and provide education to healthcare providers on formulary alternatives. Additionally, I use decision support tools to flag non-compliant prescriptions and facilitate timely interventions. This proactive approach helps maintain formulary integrity and promotes cost-effective prescribing.

I approach conflicts by engaging in open and respectful dialogue with patients, explaining the rationale behind evidence-based recommendations. I listen to their concerns and preferences, exploring alternative options that align with their values and clinical guidelines. This collaborative approach ensures patient-centered care while upholding evidence-based practices.

At my previous job, I identified a bottleneck in the prior authorization process that was delaying patient access to medications. I implemented a streamlined workflow using electronic health records, reducing processing time by 30%. I also developed a training program for staff, enhancing their understanding of formulary requirements. These improvements not only expedited access to necessary medications but also improved overall patient satisfaction.