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Poonam Thapa

@poonamthapa1

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I triage Medicare Part D requests and strengthen compliant pharmacy operations.

United States

Message

What I'm looking for

I'm seeking to apply my clinical and regulatory expertise within a professional organization that fosters continuous learning and growth.

I'm a Certified Pharmacy Technician with experience at Centene Pharmacy Services, DeliverCareRx, and hospital pharmacies in Mumbai. I triage high-volume Medicare Part D coverage determinations, review denied prior authorizations, and identify high-risk cases for pharmacist review.

I've supported medication access through prescription processing, insurance-claim resolution, medication reconciliation, chemotherapy validation, interaction screening, and audit-ready quality reporting. I bring a Bachelor of Pharmacy and a focus on compliant, safe pharmacy operations.

Experience

Work history, roles, and key accomplishments

Certified Pharmacy Technician

Centene Pharmacy Services

Aug 2025 - May 2026 (9 months)

Triaged high-volume Medicare Part D coverage determination requests, ensuring 100% compliance with CMS clinical criteria and turnaround times. Reviewed denied prior authorizations and supported the appeals process.

Medicare Part D CMS Timelines Prior Authorizations PBM Systems Clinical Triage Data Analysis

Pharmacy Technician

DeliverCareRx

Jul 2024 - Apr 2025 (9 months)

Optimized workflow efficiency by accurately processing prescriptions and implementing safety protocols to eliminate medication errors. Resolved complex pharmacy insurance claims and third-party billing issues.

Prescription processing Medication Safety Insurance Claims Third Party Billing Patient Support

Clinical Pharmacist

Sir H N Reliance Foundation Hospital & Research Center

Feb 2021 - Feb 2022 (1 year)

Executed precise medication reconciliation and validated chemotherapy orders using standardized clinical formulas. Prepared monthly NABH-7 quality indicator reports and screened prescriptions for drug interactions.

Medication Reconciliation Chemotherapy Validation Drug interaction screening SAP NABH Standards Quality Reporting

Dispensing Pharmacist

Saifee Hospital

Sep 2019 - Feb 2021 (1 year 5 months)

Managed pharmacy inventory using the FEFO method and dispensed medications per international NABH safety guidelines. Coordinated urgent procurement for specialized drugs and orthopedic appliances.

Inventory Management FEFO Dispensing NABH Guidelines Procurement