Yazaira Pardo

Restocked Pyxis, couriered STAT medications, processed urgent fast-fill requests, and compounded medications for inpatient care; filled and verified outpatient prescriptions, handled prior authorizations and billing, and collaborated with Medication Management Clinic to ensure 340B-compliant dispensing.

Provided patient counseling under pharmacist supervision, conducted MTM outreach, verified and processed prescriptions and pharmacy benefits claims, and administered vaccinations to support retail pharmacy operations.

Counseled patients on medications, processed electronic and phone prescriptions, managed controlled substance law concepts, resolved rejected insurance claims, and filled medications to maintain dispensing accuracy.

Provided customer service, processed and filled prescriptions, handled prescription clarifications with providers, and adjudicated electronic insurance claims including rejections for refills-too-soon and prior authorizations across multiple store assignments.

Answered member, pharmacy, and provider inquiries for Commercial, Medicare, and Medicaid benefits; investigated and resolved issues, adhered to HIPAA procedures, and used Single View, Clinical Review Engine, and RXClaims/AS400 platforms for PA and claims support.

Processed and adjudicated specialty pharmacy insurance claims, submitted and monitored prior authorizations via CoverMyMeds, verified prescription metrics for dispensing, and coordinated with payers and providers to resolve claim issues.

De-escalated client and provider requests, identified organizational trends for SOP improvement, acted as SME for REMS/LDD and PBM processes, and supported financial assistance and prior authorization workflows.

Supported clients, patients, and pharmacies with escalated service failures, identified trends for leadership action, and produced timelines and reports to improve referral processing and client satisfaction.

Processed and tracked advanced therapy team requests, communicated clinical information to members and providers within turnaround times, managed inventory ordering, and trained new hires to support research operations.

Activities and societies: Pharmacy student leadership roles, volunteer medication cleanout event, membership in professional pharmacy organizations.

Doctor of Pharmacy program with anticipated graduation in May 2028; enrolled August 2024–present focusing on clinical pharmacy education and experiential training.

Activities and societies: Student government and committee participation, involvement in public health-related volunteer activities.

Master of Public Health program with anticipated graduation in May 2028; enrolled May 2025–present focusing on population and public health principles.

Completed a Bachelor of Applied Science in Business and Organizational Leadership from January 2018 to December 2020.