Okhaimor G Affar
HEALTHCARE OPERATIONS | PROCESS IMPROVEMENT | BUSINESS & WORKFLOW ANALYSIS
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About
Healthcare operations and business improvement professional with 15+ years of experience in pharmacy benefits, healthcare operations, and process optimization. Holds an M.S. in Information Systems, with MIT Sloan training in Artificial Intelligence for Business Strategy, workflow improvement, root-cause analysis, and data-driven decision-making. Passionate about leveraging technology and innovation to drive operational efficiency, digital transformation, and improved healthcare outcome
Experience
Consumer Engagement Professional - HUMANA – CENTERWELL PHARMACY
(2025-09)
- Participate in a workflow and process improvement pilot, and evaluating operational practices
- Serve as a Subject Matter Expert (SME) supporting associates with complex pharmacy benefits, Medicare Part D, and operational inquiries.
- Analyze operational trends, quality metrics, customer feedback, and workflow issues to identify improvement opportunities for data-informed business decisions.
- Leverage Artificial Intelligence for query development and data analysis to support data interpretation, identify operational trends, and evaluate workflow improvement.
- Conduct root-cause analysis of complex issues and collaborate with internal business partners to identify and resolve underlying operational issues.
- Partner with supervisors and cross-functional leaders to improve workflows, productivity, operational consistency, and overall member experience.
- Maintain accurate documentation and data across operational systems while identifying opportunities to improve information quality and workflow effectiveness.
- Foster a collaborative, accountable, and continuous-improvement environment through knowledge sharing, coaching, and peer support.
Specialty Pharmacy Senior Specialist - CVS HEALTH / AETNA RESOURCES LLC
(2020 - 2025)
- Served as a Subject Matter Expert for complex specialty-pharmacy cases, escalations, medication-access issues, and patient-support workflows.
- Provided operational guidance and coaching to Specialty Pharmacy Representatives regarding medication fulfillment, and benefits coordination.
- Resolved complex cases involving prior authorizations, insurance rejections, benefit issues, and medication-adherence barriers.
- Used EMR, CRM, and pharmacy-management systems including RxConnect, Caremark platforms, and SPRX to research cases, maintain accurate records, and coordinate patient solutions.
- Served as a liaison among healthcare providers, manufacturers, payers, and internal teams to coordinate specialty-medication scheduling, and fulfillment.
- Evaluated operational metrics, case trends, and member feedback to identify workflow gaps and opportunities for process improvement.
- Monitor data integrity and workflow accuracy across EHR, CRM, and pharmacy systems to support effective downstream operations.
- Prepare case documentation, and audit materials for compliance purposes
Senior Manager, Business Development - KONTAKTE KOMMUNICATIONS LLC
(2005 - 2020)
- Supervised and motivated cross-functional teams responsible for client service, business operations, communications, and project delivery.
- Directed alignment of IT systems and business processes with organizational growth and transformation initiatives to improve operational efficiency.
- Used CRM platforms and business data to identify market opportunities, evaluate performance, and support business-development decisions.
- Established KPIs, monitored team performance, and provided coaching and mentoring to improve accountability and operational effectiveness.
- Coordinated multiple projects simultaneously, managing priorities, deadlines, quality standards, stakeholders, and organizational objectives.
- Partnered with marketing, design, sales, publishing, and distribution teams to coordinate cross-functional initiatives and ensure consistent execution.
- Contributed to go-to-market planning, proposal development, stakeholder communications, and strategic business initiatives.
Education
Certificate - Artificial Intelligence: Implications for Business Strategy - Massachusetts Institute of Technology (2026 - 2026)
Master of Science - Information Systems - Strayer University (2025 - 2025)
Bachelor of Arts - German Studies - University of Ibadan (2004 - 2004)
High School Diploma - Orogun Grammar School (1989 - 1989)
