MGM-2115
- 1. Maria Macchiavello 7 Floyd Drive Totowa, New Jersey 07512 Email: [email protected] Home: 973-997-8808 Top performer experienced in client service, financial performance, strategic relationship building and cross functional team leadership used to contribute to the profitability, efficiency, and success of a Fortune 50 corporation. Self-starter with proven track record of increased responsibility in the health care services and pharmaceutical products sectors. Able to work collaboratively with key matrix partners in dynamic environments while rendering deliverables in a timely and accurate fashion. Excellent perception and analytical skills, coupled with the ability to drive process and workflow improvements. PROFESSIONAL EXPERIENCE Contracting: Sodexo, Food Service (Contracting) Nov, 2013-Jan, 2015 Providing Students with excellent Customer Service, in serving food and working at the register at lunch times. Café Borbone (Contracting) July, 2014-October, 2014 • Customer Service/Account management responsibilities such as taking orders placed over the phone or in person. • Working with people in the warehouse to insure optimal packaging of our products (coffee, soup). Knowledge of our products, and Recommendations to Customers. • Insuring correct pricing. • Accounts Payables. • Accounts Receivables. David’s Bridal’s Aug, 2011-September, 2011 Consultant (Temporary Position) • Helping Brides to find their dream Wedding Dress. • Taking measurements of Brides and Bridal Party • Computer knowledge to insure inventory of Dresses. Ricci & Fava, Law Firm June, 2011- August, 2011 Administrative Assistant (Temporary Position) Giulia Specialty Foods, Inc. – lodi, NJ March 2011 - May 2011 Manager, Customer Relations ( Temporary Position) • Receive and process purchase orders from new and existing clients into the system. Enter sales orders, produce bills of lading, produce invoices. • Work with international suppliers to exceed customers’ demands and expectations. • Develop and maintain productive work relations with key suppliers and wholesalers. Aflac, Lindhurst, NJ - (Temporary Position). August 2008 - December 2008
- 2. Obtained Broker’s Licence. Benefits Consultant/Broker- Educated new clients and existing clients on Life & Health Insurance benefits. • Educated new and existing clients on Medicare benefits. • Assessment of prospective new customers by cold calling. • Administered Life and Health benefits for existing customers. Bradley Pharmaceuticals - Fairfield, NJ March 2007 - November 2007 Manager, Sales and Trade Relations (Temporary Position) • Managed product launches for key divisions: Kenwood Therapeutics and Doak Dermatologics. Served as key point of customer contact during product launches. • Worked with product managers through all aspects of product launch cycle including: obtaining sales projections, pricing models, and offer letters. • Worked cross functionally with Internal Sales, Marketing, and various operational teams to adhere to tight timelines • Assisted in the company’s successful expansion into womens’ health segment, during the launch of Estradiol Gel 0.06% (Elestrin). Reviewed and approved promotional materials . • Worked with Clinical Director, Regulatory and Manufacturing to obtain necessary product information for inclusion on Healthcare Distribution (HDMA) form. • Contacted major wholesalers (McKesson, Cardinal and ABC) to discuss available marketing programs and brief them on the new product. Medco Health Solutions, LLC – Franklin Lakes, NJ December/1992-November 2006 Account Manager Medco – United Healthcare Division May 2005 - November 2006 • Ensured accuracy of plan set-up by assessing client business requirements / parameters. • Presented system enhancements and relevant new procedures to clients. • Worked with internal functional areas to install or update prescription benefits . • Designed prescription mail programs for various clients. • Developed database queries to provide clients requested data. • Partnered with Finance department to process client reimbursements. • Pro-Actively researched root cause of incorrect claim adjudication, and provided recommendations to prevent payment of penalties. • Worked with Clinical area to insure correct Formulary and Tier placement of medication. • Represented Account Management on company wide Reliability meetings. • Maximized growth and pull-through opportunities to achieve business and program up sell goals using extensive product knowledge and installation experience, particularly for Health Plan, Medicare Part D, and Consumer Driven plan designs. • Leveraged deep technical knowledge of Medco operating and service delivery platforms encompassing mail service, client profile, plan file, customer service, and claims processing to effectively complete the high-profile project. • Tracked customer service problems, continually assessing plan performance. • Managed new benefit installations and plan modifications. Client Service Specialist October 2003 - August 2004 • Researched escalated client and internal account management issues and responded back to clients and account teams with resolution and findings • Investigated and updated members’ eligibility and prior authorization records • Worked with Claims Department to resolve claim adjudication issues • Researched member specific prescription benefits and update at client’s request • Adjusted and reimbursed member overpayments • Researched member billing discrepancies addressing necessary adjustments and credits. • Worked with Managed Care team to track and update prior authorizations. Call Center Lead-Special Projects December 2002 - October 2003 • Directly contacted patients and local agencies from Gatekeeper referrals.
- 3. • Provided feedback/coaching forms to representatives. • Presented new pharmacist transfer processes to all representatives using an interactive classroom format. • Formulated and presented new expedited shipping SOPs. Customer Service Account Representative August 2000 - December 2002 • Handled high volume of inbound calls daily, to assist members with all prescription plan inquiries and related trouble-shooting. • Provided members with specific prescription benefits in relation to co pays, deductibles, out of pocket expenses and floor limits dictated by their plan. • Researched process flow of prescriptions and provided order delivery date. • Ordered refills for members; expedited orders when appropriate. • Entered system approvals to allow short term supplies of medication free of charge when patients are at risk of interrupting therapy. • Insured no interruption in therapy by referring calls to a pharmacist for patient counseling. EDUCATION Montclair State University - Upper Montclair, NJ Bachelor of Science in Marketing LICENCES NJ Department of Banking - Producer License - Life and Health (Medicare Supplements) COMPUTER / LANGUAGE SKILLS Proficient with all Microsoft Office Suite applications: Word, Outlook, Access, Excel. Fluent in English and Italian.