Mandie Simpson
@mandiesimpson
Senior pharmacy benefit management specialist improving Medicare Part D outcomes.
United StatesWhat I'm looking for
I’m a results-driven pharmacy benefit management professional with 7+ years of experience across patient care coordination, Medicare Part D analysis, quality assurance, and customer service. I’m known for strong CMS compliance, plan performance analysis, and translating data into actionable insights for members, providers, and clients.
In my current role as a Patient Care Coordinator, I coordinate end-to-end prescription workflows, support prior authorization and benefits verification, and resolve escalated patient issues while maintaining HIPAA and service standards. Previously as a PDP Analyst and Quality Assurance Coordinator at MedImpact, I monitored KPIs, evaluated customer interactions against CMS guidelines, and recommended process improvements to enhance operational efficiency and the member experience.
Experience
Work history, roles, and key accomplishments
Patient Care Coordinator
MedOne Rx
May 2026 - Present (2 months)
Coordinates care between patients, providers, and pharmacy teams to manage end-to-end prescription workflows, including intake, benefits verification, and prior authorization support. Resolves escalated patient issues while maintaining HIPAA- and process-compliant documentation.
PDP Analyst
MedImpact Healthcare Systems
Aug 2025 - May 2026 (9 months)
Analyzes Medicare Part D plan performance and supports data-driven decision-making. Monitors KPIs and compliance with CMS regulations and collaborates on process improvements and reporting for plan optimization.
Quality Assurance Coordinator
MedImpact Healthcare Systems
Jan 2021 - Aug 2025 (4 years 7 months)
Evaluates customer interactions for compliance with CMS guidelines and internal quality standards. Provides actionable feedback and coaching, identifies trends, and supports continuous improvement initiatives to enhance operational efficiency and the member experience.
Customer Care Representative
MedImpact Healthcare Systems
Dec 2017 - Jan 2021 (3 years 1 month)
Handles high-volume inbound calls assisting members and providers with pharmacy benefit inquiries. Resolves complex issues related to claims, coverage, and medication access while maintaining rapport, efficiency, and accuracy.
Education
Degrees, certifications, and relevant coursework
Oakmont High School
High School Diploma, Secondary Education
Earned a High School Diploma from Oakmont High School in 2007.
Tech stack
Software and tools used professionally
Availability
Location
United StatesAuthorized to work in
Job categories
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