About Nyakeh Konneh:
Licensed pharmacist looking for opportunity
Experience
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
Education
Lipscomb University College of Pharmacy Nashville, TN
Doctor of Pharmacy August 2012 – May 2016
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