Michael Najarian

Michael Najarian

INDEPENDENT CLINICAL CONSULTANT at MDRX PHARMACY SERVICES

Los Angeles and Orange County
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Summary

Well rounded, highly qualified, patient-service oriented pharmacist licensed in California with a PharmD. Approximately 12 years of providing superb pharmaceutical services in all fields of pharmacy, including independent ownership, hospital/specialty, and community settings. Last 2 years spent perfecting skills as a clinical pharmacist in Specialty Pharmacy. Certified APHA immunizer and OutComes certified in patient medication therapy management. Highly personable, driven, hard-working, and team-oriented. Known for developing excellent rapport with customers, colleagues, and physicians. Recognized for excelling in high-volume environments and making sound decisions under pressure. Dedicated to providing the highest quality patient care possible.

Experience

2017 Jun - Present
INDEPENDENT CLINICAL CONSULTANT
MDRX PHARMACY SERVICES / MONTEBELLO
  • Upgrades the design of the pharmacy work-flow to be more efficient decreasing wait time from 40 minutes to 15 minutes
  • Develops a successful MTM program achieving positive outcomes with an 85% success rate
  • Constructs a marketing plan to increase patient count by the tactical disbursement of "under new management" discount fliers at all nearby pharmacies
  • Implements weekly educational activities for the community such as medicine "brown bag day" and diet/exercise nights
  • Visits physician offices and hosted lunch lectures helping to positively change pharmacy reputation and gained the trust of physicians
  • Initiates licensing process to achieve 'specialty pharmacy' status
  • Improves image of pharmacy with the community and established a professional and positive work culture
  • Assures policy and procedures reflect current laws and standards including CII "corresponding responsibilities"
  • Reviews and creates qualitative reviews of all contracts, such as PBM contracts, and see if renegotiation is an option
  • Helps with the management of staff
  • Contributes to the ongoing development and expansion of the consulting practice, including participation in the development of consulting practice tools and methodologies, the ongoing capture and dissemination of PBM expertise within the consulting practice, and recruiting/development of staff in the practice
  • Manages data and financial analytic work and provide guidance in developing the data model for the project
  • Provide expertise and support to neighboring markets and external provider systems related to pharmacy quality and CMS STARS measures
  • Supporting providers with Part B/Part D performance metrics to ensure success as they move along the Path to Value risk continuum
2014 Oct - 2017 Mar
CLINICAL STAFF PHARMACIST/ PRN INFUSION PHARMACIST
KROGER SPECIALTY PHARMACY / LOS ANGELES
  • Monitor all employees to assure company policies and CA pharmacy laws are followed and met
  • Superior knowledge of HIPAA Privacy and Security Regulations when appropriately handling patient information.
  • Insurance prior authorizations approved for prescriptions not on formulary and specialty drugs such as Harvoni, Triumeq, Solvaldi, Olysio
  • Directed prescription work flow in decreasing patient wait time from 30 to 15 minutes as per pharmacy policy
  • Closely examine patients' medical history, medication allergies, physical condition and test results to verify proper drug regimens. Medication errors prevented by extracting pertinent information from patient charts such as renal function, bacteria susceptibility, and antibiotic resistance reports; For example, recommended Macrobid (contraindicated CrCl<60mL/min) to be changed to Cefpodoxime for a UTI because patients chart specified a CrCl <40mL/min and resistance to all antibiotics except Cefpodoxime. Also prevented incorrect dosing of Levaquin by recommending change from 750mg from once a day to once every other day due to a chart reading of CrCl 20-49mL/min.
  • Remain up-to-date with all insurance requirements(MediCal Code 1 restrictions, ADAP formularies/max refills, Medicare Part D requirements) ,including the details of patient financial responsibilities, fee-for-service and managed care plans.
  • Monitored the Quality Assurance program to improve performance and maintain high standards of care
  • Revised policies and procedures in accordance with changes in local, state and federal laws and regulations-- implemented new CDC opioid guidelines changing culture of pharmacy by weaning out patients participating in fraud, waste and abuse
  • Verified accuracy and completion of information on prescription and refill requests
  • Maintained drug inventory levels by ordering necessary medications and supplies along with verifying deliveries against purchase orders and resolving any discrepancies
  • Communicated directly with doctors' offices via telephone, fax and email
  • Extended patient engagement with extra counseling and follow-up adherence calls increasing patient compliance by additional 25%
  • 97% success rate conducting drug utilization reviews, drug interventions and therapy management resulting in positive outcomes=payment for MTM
  • Assisted customers with medical issues and provided valuable health-care counseling
  • Followed state and federal record keeping guidelines for all drugs and controlled substances CII-V
  • Processed up to 315 prescriptions on high volume 800rx/days with 100% accuracy.
  • Precisely processed third party prescriptions and managed end of day adjudication review saving average of $250 per day
  • Over 500 orders checked, packaged, and delivered using courier service by 7:00pm daily
  • Awarded employee of the month for February and July
  • Covered shifts in the infusion department as needed
  • Transcribe prescriptions for Nursing homes, home patients and in-house infusions
  • Calculate oral to IV conversions for PCA pumps and compound accordingly
  • Calculate dosing for Vancomycin and Aminoglycosides, including monitoring blood levels for peaks and troughs
  • Supported technicians in the compounding of numerous IV infusions including Vancomycin, IVIG, Zosyn and Banana bags using several pump systems such as Curlin and Vista pumps
  • Observed and directly supervised technicians to ensure calculations and preparation of IV medications are done correctly, as well as in a sterile environment using aseptic technique in accordance with USP 797
  • Make cold calls and helped develop territory sales plan to increase business
  • Collaborated in the architect and design of an upgraded work flow and remodel of entire pharmacy. Restructured, reorganized, and updated pharmacy policy and procedures with accordance to current CA pharmacy law. Corrected procedure for NDC reassignments, prior authorizations, and how CII prescriptions were received. Corrected the procedure for ADAP prescription refills. Implemented current guidelines for dispensing opiates and other control medications
2012 Sep - 2014 May
FLOAT PHARMACIST
WALGREENS PHARMACY / MONTEBELLO
  • Compounds basic medications
  • Completes Medical Tars and Prior Authorizations for non-covered medications/brand names/specialty drugs
  • Immunizes patients 2 years and older with Tdap, Influenza, Pneumovax, Zostavax, Gardasil, etc.
  • Read blood Pressure and cholesterol levels for patients
  • Works with numerous pharmacy teams in several different locations maintaining smooth, successful work flows and positive relationships with all employees
  • Covers all necessary shifts regardless of time and location, including graveyard
  • Maintains ScriptPro
  • Oversaw the pharmacy technicians' drug preparation and distribution activities to provide safe, efficient care for patients
  • Provides health education and coaches consumers on treatment alternatives to assist them in best decision making
  • Supervises and educates pharmacy technicians ensuring Continuous Quality Improvement
  • Verifies patient orders for completeness and accuracy before being sent to fulfillment i.e., prospective DUR including allergies, interactions, contraindications, etc
  • Manages department work-flow in absence of director to ensure predefined turnaround times are met
  • Performs other duties as assigned by the Pharmacy Manager, Store Director, Pharmacy District Manager and District Manager
  • Works independently with minimal supervision. Organizes and prioritizes work assignments. Ensures pharmacy services are provided in a timely manner
  • Participated in first role out of MTM services. OutComes MTM certification course completed and profits increased by successfully receiving payments for completing numerous MTM reviews with productive outcomes, which increased patient confidence by decreasing pill burden and total cost of medications by voiding duplicate therapies and recommending more cost- effective generics
2011 Apr - 2012 Sep
PHARMACIST IN CHARGE(PIC)/OWNER
BEVERLYCARE/BEVERLY-HI MEDICAL PHARMACY / MONTEBELLO
  • Performs all duties of independent/retail pharmacist and owner
  • Maintains cost effective inventory by managing front end stock, medical supplies, and prescription drugs
  • Leverages social media websites such as Facebook to promote pharmacy services and gauge customer needs and preferences
  • Hires and trains new employees, such as a technicians, delivery drivers, clerks, and interns
  • Prints daily reports, entered revenue and expense transactions, resolved all audits and charge backs as well as prepared expense reports
  • Tracks and evaluates staff performance, and handled all promotions and terminations
  • Manages payroll
  • Maps out efficient delivery routes
  • Manages employee schedules
  • Fills/maintains all invoices and prescriptions according to law
  • Generates over $120,000 per year in revenues resulting from regaining the trust of the community by providing medication review lectures twice a month, volunteering at community service events such as blood drives, medication brown bag days, and by starting pharmacist mentor program at local high schools
  • Hosts meet and greets for community professionals
  • Positively changes the reputation of pharmacy within 3 months of becoming owner
  • Reviews, researches and negotiates insurance and health plans, benefit packages and other contracts
  • Complies with federal, state and company policies, procedures and regulations receiving all valid pharmacy/DEA licenses
  • Calculates, prepares, and issues bills, invoices and account statements
  • Communicates with customers, employees and physicians to answer all questions and provides any needed info
  • Increases prescription count from 2/day to 100/day within 1 year
  • Awarded JCAHO accreditation
  • Negotiates contract to service Montebello Adult Daycare Center for the elderly working closely with physicians and nurses to provide the most efficient drug therapies by reviewing patient charts monthly
  • Perform Inventory management (ordering or receiving, stocking)
  • Responsible for all aspects of prescription processing, including data entry, prescription verification/DUR, shipping, fulfillment, billing and adjudicating prescriptions, prior authorization approvals,enrolling patients in assistance programs and manifesting
  • Responsible for pharmacy security, including drug inventory security
  • Performs quality control tests, and packages the doses for shipping to the customer in keeping with the prescription and Company, State and Federal regulations
  • Create, revise, and improve policies, procedures, data and new programs pertaining to related (Medicare Part D, Commercial, etc.) programs
  • Develop, implement and administer standard and custom formularies
  • Serve as the drug expert to local physician offices, dentists, nurse, etc
  • Financial Reporting - Organize, deliver and report on financial performance
  • Recruitment of technicians,clerks,drivers and Staff Management
2006 May - 2011 Apr
STAFF PHARMACIST
RITE AID PHARMACY / WHITTIER
  • Fills/interprets/dispenses prescriptions with accordance to HIPPA and CA law
  • Provides immunizations such as Zostavax, Influenza, Gardisil
  • Provides smoking cessation courses
  • Dispenses Plan B and conducted consult on different contraceptives and STDs
  • Awarded Pharmacist of the month on numerous occasions due to patient satisfaction and positive feedback, positive employee feedback, and superb consultations
  • Provides health education and coaches consumers on treatment alternatives to assist them in best decision making
  • Supervises and educates pharmacy technicians ensuring Continuous Quality Improvement
  • Verifies patient orders for completeness and accuracy before being sent to fulfillment i.e., prospective DUR including allergies, interactions, contraindications, etc
  • Stream lines work flow in and between all areas, along with and if necessary in the absence of management
  • Assists with quality improvement initiatives, inventory control, and ordering of pharmaceuticals
  • Performs other duties as assigned by the Pharmacy Manager, Store Director, Pharmacy District Manager and District Manager
  • Works independently with minimal supervision. Organizes and prioritizes work assignments. Ensures pharmacy services are provided in a timely manner
  • Increased customer satisfaction score from 30% to 87% by being more accessible with blood pressure/cholesterol testing days and patrolling OTC sections every few hours answering all patient OTC questions and concerns


RELEVANT INTERNSHIPS


SkilledCare KPS 2005

-Filled blister packs and monthly dosage packs for nursing homes
-Calculated, compounded, and verified Vancomycin, Aminoglycosides, IV
antibiotics and TPNs
-All compounded IVs done using aseptic technique in sterile laminar flow hoods
-Provided nursing homes with answers to pharmaceutical questions or concerns
-Reviewed all patient charts monthly assuring proper drug regimens
Cardinal Health Nuclear Pharmacy 2005
-Eluded nuclear generators to prepare radio-pharmaceutical
-Used aseptic technique to compound IV unit doses in fume hoods
-Successfully developed and implemented guidelines and facility designs in
compliance with USP<797> ultimately resulting in JCAHO accreditation
Centinela Hospital 2005
-Formulated and justified a patient-specific therapeutic management plan in the
Cardiology Unit
-Interpreted prescriptions and medication orders from patient charts
-Performed research on new cardiac medication Bidil and performed PowerPoint
presentation
-Worked with clinical cardiology pharmacist Dr.Sheryl Chow and reviewed all patient
charts in Cardiology ICU to assure proper guideline were followed for the
management of CHF,MI, HF, and Cardiomyopathy. Collaborated with physicians to
assure patients received the most up to date pharmacological treatments
-Participated in code blues
Olive Vista Mental Health Services 2005
-Conducted daily lectures on anti-psychotic medications and disease states for patients
-Part of medical team determining the mental status of patients using Kessler
screening system and determined the most effective drug regimen available
-Assisted Dr.Shankar in gathering data from patient charts for research to determine
the relationship between serotonin and weight gain leading to metabolic syndromes
in respect to which anti-psychotic used. The study implicated Clozapine and
Olanzapine had a lot of weight gain causing obesity and metabolic syndromes
East Los Angeles Doctors Hospital 2005
-Reviewed patient charts
-Calculated, verified and mixed TPNs and IV antibiotics
-Filled and deployed crash carts
-Monitored and calculated renal function of patients on IV antibiotics such as
-Levaquin and other meds eliminated from the kidney
-Dosed Heparin and Warfarin
Central Drugs Compounding Pharmacy 2005
-Compounded drugs into different dosage forms such as capsules, creams, ointments,
tablets, lotions, etc
-Participated compounding individually customized Bio Identical Hormone Therapies

Education

2002 - 2006
WESTERN UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF PHARMACY
DOCTOR OF PHARMACY (PharmD)
1998 - 2002
University of California,Irvine
Bachelor of Science, Biology

Skills