Amanda Cofield
Clinical Pharmacist, Prior Authorization reviewer
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About
Evaluate complex prescription requests against clinical guidelines and established formularies to ensure safe and effective medication use. Collaborate with prescribing physicians to identify cost-effective, clinically appropriate alternatives for non-formulary requests. Serve as a subject matter expert and consultant for colleagues on complex clinical cases, enhancing team knowledge and patient outcomes.
Develop training materials and directly train newly hired pharmacists to improve clinical review team performance. Made recommendations during the development of an artificial intelligence tool to assist in prior authorization review process, improving efficiency.
Experience
Clinical Pharmacist, Prior Authorization reviewer at Anthem/Elevance (2019 – Present)
Evaluate complex prescription requests against clinical guidelines and established formularies to ensure safe and effective medication use. Collaborate with prescribing physicians to identify cost-effective, clinically appropriate alternatives for non-formulary requests. Serve as a subject matter expert and consultant for colleagues on complex clinical cases, enhancing team knowledge and patient outcomes.
Develop training materials and directly train newly hired pharmacists to improve clinical review team performance. Made recommendations during the development of an artificial intelligence tool to assist in prior authorization review process, improving efficiency.
Pharmacist at Kroger Pharmacy (2014 – 2019)
Provided medication therapy management services including adherence counseling and comprehensive medication reviews to optimize patient outcomes. Evaluated appropriateness of patients' drug therapy regimens and recommended changes based on clinical literature and best practices. Explained insurance coverage to customers, resolved insurance claim issues, and rebilled claims to ensure patient access to medications.
Administered immunizations to patients, supporting public health initiatives. Forecasted pharmaceutical inventory needs, ordered supplies accordingly, and processed returns to maintain optimal stock levels. Hired, trained, and coached pharmacy technician staff to maintain high-quality pharmacy operations
Education
Doctor of Pharmacy – Virginia Commonwealth University (2010 – 2014)
Bachelors of Science in Chemistry – University of Virginia (2006 – 2010)
