
Don Merritt
@donmerritt
Resolution Specialist at Optum Specialty Pharmacy resolving insurance and medication coverage issues for members and pharmacies.
What I'm looking for
At Optum Specialty Pharmacy, I help members resolve issues with active insurance policies and medication coverage. I verify eligibility with insurance clients and approve Prior Authorizations.
I also assist pharmacies with prescription processing and coverage or pricing differences, and mentor new employees during orientation and their initial probation period. Earlier, at University of Chicago Medical Center, I filled medication orders and delivered medication to hospital units.
Experience
Work history, roles, and key accomplishments
Resolution Specialist
Optum Specialty Pharmacy
Jan 2009 - Jan 2026 (17 years)
Helped members resolve issues on active insurance policies and medication coverage, verified member eligibility, and approved prior authorizations. Assisted pharmacies with prescription processing and mentored new employees during orientation.
Pharmacy Technician
University of Chicago Medical Center
Jan 2008 - Dec 2008 (11 months)
Filled pharmaceutical orders for oral medications and IVs, delivered medication to all hospital units, and developed strong working relationships with pharmacists and technicians.
Pharmacy Verification Technician
CareMark Specialty Pharmacy
Jan 2008 - Aug 2008 (7 months)
Verified and processed mail-in prescriptions via computer, and developed communication skills by speaking with nurses and doctors.
Education
Degrees, certifications, and relevant coursework
Hirsh High School
High School Diploma, General Studies
Graduated from Hirsh High School in 1989.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Salary expectations
Job categories
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