KN
Open to opportunities

Kelly Nguyen

@kellynguyen

Experienced pharmacist dedicated to patient care and medication management.

United States
Message

What I'm looking for

I seek a role that fosters collaboration, values patient care, and offers growth opportunities.

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

OR
Current

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.

H-

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.

H-

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.

H-

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

UP

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

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Kelly Nguyen - Prior Authorization Pharmacist - Optum Rx | Himalayas