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IKE OKWEREKWU

@ikeokwerekwu

Prior Authorization Pharmacist at WellDyne using AI-assisted clinical reviews to improve authorization workflows and quality.

United States
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At WellDyne, I review prior authorization requests against patient histories, medication records, and payer criteria. I also use AI-assisted tools in clinical auditing workflows and provide feedback to improve operating procedures.

At OptumRx, I evaluated medication authorization cases and used RxClaim to review patient information and claims history. I worked with prescribers to clarify clinical information needed to complete requests.

At UnitedHealthcare, I provided diabetes medication therapy management, disease education, and adherence support. I reviewed medication regimens and collaborated with physicians, nurses, and other healthcare professionals on treatment plans.

Alongside my pharmacy work, I’ve written medical content for healthcare organizations and clients, including patient education materials, video scripts, slide presentations, and reports. I’ve also created educational content about sickle cell disease for the Sickle Cell With Dr.O YouTube channel.

Experience

Work history, roles, and key accomplishments

WE
Current

Prior Authorization Pharmacist

WellDyne

Jun 2024 - Present (2 years 5 months)

Conducted comprehensive clinical reviews of prior authorization requests, evaluating patient medical histories and payer-specific criteria. Applied advanced clinical judgment to complex cases and utilized AI-assisted review tools to improve decision-making accuracy.

Prior Authorizations
Clinical Review
Payer Criteria Alignment
AI Review
Clinical Decision Support
Pharmacy Management Systems
DocumentationRegulatory Compliance
OP

Prior Authorization Pharmacist

OptumRx

Nov 2023 - Feb 2024 (3 months)

Oversaw clinical functions in the prior authorization process, evaluating cases to approve or deny medications based on clinical guidelines and formulary reviews. Maintained meticulous documentation and fostered communication with prescribers to streamline the process.

Prior Authorizations
Clinical Review
Formulary Management
DocumentationCommunication Skills
RxClaim
Claims History
CC

Prior Authorization Pharmacist

CVS Caremark

Apr 2023 - Oct 2023 (6 months)

Managed clinical facets of prior authorization processes, facilitating access to medications for patients. Conducted comprehensive reviews of Medicare Part D requests and proactively stayed updated on insurance policies and regulations.

RA

Staff Pharmacist

Rite Aid

Oct 2019 - Jan 2022 (2 years 3 months)

Orchestrated day-to-day operations of the central pharmacy, verifying prescriptions and managing high call volumes. Fostered connections with insurance companies and healthcare providers to navigate approvals and prior authorizations, and conducted Drug Utilization Reviews.

SC

Content Creator & Host

Sickle Cell With Dr.O YouTube Channel

Developed educational and inspirational content focused on sickle cell disease for the YouTube channel, aimed at empowering and supporting patients.

VO

Freelance Medical Writer

Various Healthcare Organizations/Clients

Conducted research on medical topics and produced medical content including patient education materials, video scripts, and reports. Gained expertise in multiple therapeutic areas and collaborated with clients to ensure timely delivery.

Education

Degrees, certifications, and relevant coursework

Northeastern University logoNU

Northeastern University

Doctor of Pharmacy, Pharmacy

Doctor of Pharmacy (PharmD) degree from Northeastern University, completed in May 2019.

Northeastern University logoNU

Northeastern University

Bachelor of Science, Pharmacy Studies

Bachelor of Science in Pharmacy Studies from Northeastern University, completed in May 2018.

Tech stack

Software and tools used professionally

Availability

Looking for a job

Location

United States

Authorized to work in

Salary expectations

60k+ USD

Job categories

Prior Authorization Pharmacist
Clinical PharmacistMedical Writer

Skills

Prior Authorizations
Payer Criteria Alignment
Drug Utilization Review
Clinical Decision Making
Pharmacy Benefit Management
Medication Therapy ManagementDiabetes Management
Clinical Quality Assurance
Clinical AI Review
Prompt EngineeringWorkflow OptimizationRegulatory ComplianceMedical WritingPatient Education
Georgia Pharmacist License

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