Nyakeh Konneh

Pharmacist

Talent

Nolensville, WilliamsonMember since June 15, 2023

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About

Licensed pharmacist looking for opportunity

BlueCross BlueShield of Tennessee, Nashville, TN

Coverage Review Pharmacist Nov 2020 –Present

Performed coverage determination for prescription drugs utilizing BCBST criteria, approved clinical compendia, and clinical judgment on prior authorizations, tier exceptions, quantity limit exception, non-formulary exception, and other prescription coverage services
Perform clinical literature searches to support coverage determination decision
Collaborate with colleagues to discuss BCBST policies and procedures
Review member grievance on previously denied medication coverage

Experience using Novologix, Medhok(MHK), FACETs, ESI, ESD, Coverage 360 (c360), Microsoft (Word, Excel, Powerpoint, Outlook, SharePoint, Teams