Diana Jarvis
@dianajarvis
Experienced adjudication analyst with a decade in the pharmaceutical industry.
What I'm looking for
With over 10 years of experience in the pharmaceutical industry, I have developed a diverse skill set that includes problem solving, process improvement, and effective communication. My journey has equipped me with the ability to build strong business relationships and enhance customer service, ensuring that client needs are met with precision and care.
In my current role as an Adjudication Analyst at ConnectiveRx, I have successfully created client-approved business rules documents and recommended program rule changes to enhance our services. I take pride in my proactive approach, having built processes for effective communication and quality control, which have significantly improved our team's efficiency. My commitment to excellence is reflected in my ability to identify programming errors and ensure the accuracy of our affordability programs.
Throughout my career, I have also gained valuable experience in claims processing and international pricing support. My educational background, with a Bachelor of Arts in Spanish, complements my professional skills, allowing me to communicate effectively with a diverse clientele. I am passionate about leveraging my expertise to contribute positively to any organization I am part of.
Experience
Work history, roles, and key accomplishments
Experienced Adjudication Analyst
ConnectiveRx
Sep 2015 - Present (9 years 10 months)
Created client-approved business rules documents, recommending program rule changes to meet client needs and ensuring successful program implementation. Developed processes for communicating program completion dates to program managers and created spreadsheets for upcoming programs.
Claims Processor
ConnectiveRx former PSKW
Jun 2014 - Present (11 years 1 month)
Processed claims in the appropriate adjudication system for designated clients. Generated correspondence to request missing information necessary to complete manual claims.
International Pricing Sales Support
Wayside Technology
Jan 2012 - Present (13 years 6 months)
Managed international price files and vendor discount lists. Generated and distributed all international price lists to the helpdesk.
Call Specialist (Call Center)
Telesearch (NJ 211 First Call to Help)
Apr 2011 - Present (14 years 3 months)
Tracked emails and recorded client information, maintaining confidentiality. Provided customer service by understanding and addressing unique client needs.
Switch Board Operator/Register
Hackettstown Regional Hospital
Managed hospital codes and alarms, receiving and transmitting messages. Prepared and instructed on hospital safety codes.
Education
Degrees, certifications, and relevant coursework
Monmouth University
Bachelor of Arts, Spanish
Completed a Bachelor of Arts degree with a concentration in Spanish. The program focused on developing proficiency in the Spanish language and understanding Hispanic cultures.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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