Kelly Nguyen
@kellynguyen
Experienced pharmacist dedicated to patient care and medication management.
What I'm looking for
I am a dedicated pharmacist with over 12 years of experience in evaluating clinical information and ensuring compliance with regulatory standards. My expertise lies in patient care, medication therapy management, and drug utilization review, where I have consistently demonstrated reliability and a results-driven approach. I thrive in collaborative environments, adapting to the changing needs of healthcare.
Currently, I work as a Prior Authorization Pharmacist at Optum Rx, where I evaluate clinical criteria and assist in identifying fraud claims to minimize waste and abuse. My previous roles at H-E-B have allowed me to grow businesses and enhance operational efficiency, including opening a new store and training new pharmacists. I take pride in my ability to lead teams and improve patient outcomes through effective medication management.
Experience
Work history, roles, and key accomplishments
Prior Authorization Pharmacist
Optum Rx
Sep 2024 - Present (10 months)
Evaluated clinical criteria, compendia support, and formulary management guidelines to render prior authorization decisions. Assisted in identifying fraud claims to leadership to minimize fraud, waste, and abuse.
Pharmacist-in-Charge
H-E-B
Feb 2024 - Sep 2024 (7 months)
Grand opened a new H-E-B pharmacy, ensuring compliance with TSBP, Medicaid, and Medicare regulations. Presented to corporate management on pharmacy store needs and participated in new pharmacist training processes.
Assistant Pharmacy Manager
H-E-B
Jan 2023 - Feb 2024 (1 year 1 month)
Grew business to achieve top 5 year-to-date performance scores among over 70 stores in the Houston region. Trained interns, externs, and new pharmacist hires on H-E-B pharmacy standards and procedures.
Staff Pharmacist
H-E-B
Sep 2015 - Dec 2023 (8 years 3 months)
Managed off-site flu clinics and partner screenings. Performed and scheduled comprehensive medication reviews and targeted intervention program claims.
Floater Pharmacist
H-E-B
Jun 2013 - Sep 2015 (2 years 3 months)
Provided coverage to Houston region stores as needed. Performed and scheduled comprehensive medication reviews and targeted intervention program claims.
Education
Degrees, certifications, and relevant coursework
University of Houston College of Pharmacy
Doctor of Pharmacy, Pharmacy
Grade: Class of 2013
Completed a Doctor of Pharmacy degree, focusing on pharmaceutical sciences and patient care. Graduated as part of the Class of 2013.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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