# IKE OKWEREKWU IKE OKWEREKWU is a remote worker on Himalayas, Prior Authorization Pharmacist at WellDyne, based in United States. Source: https://himalayas.app/@ikeokwerekwu ```text Prior Authorization Pharmacist at WellDyne using AI-assisted clinical reviews to improve authorization workflows and quality. ``` | Detail | Value | | --- | --- | | Availability | Looking for a job | | Location | United States | | Authorized to work in | United States | | Salary expectations | 60k+ USD | | Job categories | Prior Authorization Pharmacist, Clinical Pharmacist, Medical Writer | | Skills | Prior Authorizations, Payer Criteria Alignment, Drug Utilization Review, Clinical Decision Making, Pharmacy Benefit Management, Medication Therapy Management, Diabetes Management, Clinical Quality Assurance, Clinical AI Review, Prompt Engineering, Workflow Optimization, Regulatory Compliance, Medical Writing, Patient Education, Georgia Pharmacist License | | LinkedIn | https://linkedin.com/in/ikeokwerekwu | ## About ```text 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 ### Prior Authorization Pharmacist (current) WellDyne. Jun 2024 - Present ```text 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. ``` Skills: Prior-Authorizations, Clinical-Review, Payer-Criteria-Alignment, AI-Review, Clinical-Decision-Support, Pharmacy-Management-Systems, Documentation, Regulatory-Compliance ### Prior Authorization Pharmacist OptumRx. Nov 2023 - Feb 2024 ```text 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. ``` Skills: Prior-Authorizations, Clinical-Review, Formulary-Management, Documentation, Communication-Skills, RxClaim, Claims-History ### Prior Authorization Pharmacist CVS Caremark. Apr 2023 - Oct 2023 ```text 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. ``` Skills: Prior-Authorizations, Medicare-Part-D, Clinical-Review, Regulatory-Compliance, Communication-Skills, Policy-Updates ### Diabetes Clinical Pharmacist UnitedHealthcare. Jan 2021 - Mar 2023 ```text Managed high volumes of inquiries, handling 90+ calls daily, and provided comprehensive diabetes management services including medication therapy management and disease education. Collaborated with a multidisciplinary team to develop evidence-based treatment plans. ``` Skills: Diabetes-Management, Medication-Therapy-Management, Patient-Education, Clinical-Review, Communication-Skills, Collaboration, Evidence-Based-Practice ### Staff Pharmacist Rite Aid. Oct 2019 - Jan 2022 ```text 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. ``` Skills: Pharmacy-Operations, Prescription-Verification, Drug-Utilization-Review, Prior-Authorizations, Insurance-Communications, Patient-Counseling ### Content Creator & Host Sickle Cell With Dr.O YouTube Channel ```text Developed educational and inspirational content focused on sickle cell disease for the YouTube channel, aimed at empowering and supporting patients. ``` Skills: Content-Creation, YouTube, Health-Education, Sickle-Cell-Disease ### Freelance Medical Writer Various Healthcare Organizations/Clients ```text 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. ``` Skills: Medical-Writing, Research, Patient-Education, Content-Creation, Therapeutic-Areas, Client-Collaboration ### Content Creator & Host Ike's Inspiration Podcast ```text Conducted weekly podcast episodes featuring guests from diverse fields, fostering discussions and sharing knowledge with the audience. ``` Skills: Content-Creation, Podcasting, Interviewing, Communication-Skills ## Education ### Northeastern University Doctor of Pharmacy, Pharmacy ```text Doctor of Pharmacy (PharmD) degree from Northeastern University, completed in May 2019. ``` ### Northeastern University Bachelor of Science, Pharmacy Studies ```text Bachelor of Science in Pharmacy Studies from Northeastern University, completed in May 2018. ``` ## Tech stack - Oracle - Panda - Gemini - ChatGPT - Epic - Claude To contact IKE, message them from this profile with a Himalayas employer account: [Hire on Himalayas](https://himalayas.app/hire). ## People also viewed - [Omuwa Kerobo](https://himalayas.app/@omuwakerobo): Clinical Pharmacist, Elevance Health - [zaynab abbour](https://himalayas.app/@zaynababbour): Pharmacist, Walgreens Pharmacy - [Noel Thomas](https://himalayas.app/@noelthomas): Associate Director, Commercial Formulary Strategy and Analytics, Optum Rx / UnitedHealth Group - [S Patel](https://himalayas.app/@spatel): Clinical Pharmacist, Capsule - [Joy Saddi](https://himalayas.app/@joysaddi): Prior Authorization Pharmacist, United Health Care OptumRx - [Christina wachuku](https://himalayas.app/@christinawachuku): Regional Care Team Pharmacist, HarmonyCares - [Robert Clonan](https://himalayas.app/@robertclonan): Pharmacist, UPMC Health Plan - [Vivian Nwankwo](https://himalayas.app/@viviannwankwo): Clinical Pharmacist, UnitedHealthcare - [Suhanny Taveras](https://himalayas.app/@suhannytaveras): Pharmacist, Walmart Pharmacy - [TAYLOR ALFORD](https://himalayas.app/@tayloralford): Clinical Pharmacist, Saint Anthony North Hospital