SlideShare a Scribd company logo
1 of 3
Maria Macchiavello
7 Floyd Drive
Totowa, New Jersey 07512
Email: m3m567@hotmail.com Home: 973-997-8808
Top performer experienced in client service, financial performance, strategic relationship building and
cross functional team leadership used to contribute to the profitability, efficiency, and success of a
Fortune 50 corporation. Self-starter with proven track record of increased responsibility in the health
care services and pharmaceutical products sectors. Able to work collaboratively with key matrix
partners in dynamic environments while rendering deliverables in a timely and accurate fashion.
Excellent perception and analytical skills, coupled with the ability to drive process and workflow
improvements.
PROFESSIONAL EXPERIENCE
Contracting:
Sodexo, Food Service (Contracting) Nov, 2013-Jan, 2015
Providing Students with excellent Customer Service, in serving food
and working at the register at lunch times.
Café Borbone (Contracting) July, 2014-October, 2014
• Customer Service/Account management responsibilities such as taking orders placed over
the phone or in person.
• Working with people in the warehouse to insure optimal packaging of our products (coffee,
soup).
Knowledge of our products, and Recommendations to Customers.
• Insuring correct pricing.
• Accounts Payables.
• Accounts Receivables.
David’s Bridal’s Aug, 2011-September, 2011
Consultant (Temporary Position)
• Helping Brides to find their dream Wedding Dress.
• Taking measurements of Brides and Bridal Party
• Computer knowledge to insure inventory of Dresses.
Ricci & Fava, Law Firm June, 2011- August, 2011
Administrative Assistant (Temporary Position)
Giulia Specialty Foods, Inc. – lodi, NJ March 2011 - May 2011
Manager, Customer Relations ( Temporary Position)
• Receive and process purchase orders from new and existing clients into the system. Enter sales
orders, produce bills of lading, produce invoices.
• Work with international suppliers to exceed customers’ demands and expectations.
• Develop and maintain productive work relations with key suppliers and wholesalers.
Aflac, Lindhurst, NJ - (Temporary Position). August 2008 - December 2008
Obtained Broker’s Licence.
Benefits Consultant/Broker-
Educated new clients and existing clients on Life & Health Insurance benefits.
• Educated new and existing clients on Medicare benefits.
• Assessment of prospective new customers by cold calling.
• Administered Life and Health benefits for existing customers.
Bradley Pharmaceuticals - Fairfield, NJ March 2007 - November 2007
Manager, Sales and Trade Relations (Temporary Position)
• Managed product launches for key divisions: Kenwood Therapeutics and Doak Dermatologics.
Served as key point of customer contact during product launches.
• Worked with product managers through all aspects of product launch cycle including: obtaining
sales projections, pricing models, and offer letters.
• Worked cross functionally with Internal Sales, Marketing, and various operational teams to adhere
to tight timelines
• Assisted in the company’s successful expansion into womens’ health segment, during the launch
of Estradiol Gel 0.06% (Elestrin). Reviewed and approved promotional materials .
• Worked with Clinical Director, Regulatory and Manufacturing to obtain necessary product
information for inclusion on Healthcare Distribution (HDMA) form.
• Contacted major wholesalers (McKesson, Cardinal and ABC) to discuss available marketing
programs and brief them on the new product.
Medco Health Solutions, LLC – Franklin Lakes, NJ December/1992-November 2006
Account Manager Medco – United Healthcare Division May 2005 - November 2006
• Ensured accuracy of plan set-up by assessing client business requirements / parameters.
• Presented system enhancements and relevant new procedures to clients.
• Worked with internal functional areas to install or update prescription benefits .
• Designed prescription mail programs for various clients.
• Developed database queries to provide clients requested data.
• Partnered with Finance department to process client reimbursements.
• Pro-Actively researched root cause of incorrect claim adjudication, and provided
recommendations to prevent payment of penalties.
• Worked with Clinical area to insure correct Formulary and Tier placement of medication.
• Represented Account Management on company wide Reliability meetings.
• Maximized growth and pull-through opportunities to achieve business and program up sell goals
using extensive product knowledge and installation experience, particularly for Health Plan,
Medicare Part D, and Consumer Driven plan designs.
• Leveraged deep technical knowledge of Medco operating and service delivery platforms
encompassing mail service, client profile, plan file, customer service, and claims processing to
effectively complete the high-profile project.
• Tracked customer service problems, continually assessing plan performance.
• Managed new benefit installations and plan modifications.
Client Service Specialist October 2003 - August 2004
• Researched escalated client and internal account management issues and responded back to clients
and account teams with resolution and findings
• Investigated and updated members’ eligibility and prior authorization records
• Worked with Claims Department to resolve claim adjudication issues
• Researched member specific prescription benefits and update at client’s request
• Adjusted and reimbursed member overpayments
• Researched member billing discrepancies addressing necessary adjustments and credits.
• Worked with Managed Care team to track and update prior authorizations.
Call Center Lead-Special Projects December 2002 - October 2003
• Directly contacted patients and local agencies from Gatekeeper referrals.
• Provided feedback/coaching forms to representatives.
• Presented new pharmacist transfer processes to all representatives using an interactive classroom
format.
• Formulated and presented new expedited shipping SOPs.
Customer Service Account Representative August 2000 - December 2002
• Handled high volume of inbound calls daily, to assist members with all prescription plan inquiries and
related trouble-shooting.
• Provided members with specific prescription benefits in relation to co pays, deductibles, out of
pocket expenses and floor limits dictated by their plan.
• Researched process flow of prescriptions and provided order delivery date.
• Ordered refills for members; expedited orders when appropriate.
• Entered system approvals to allow short term supplies of medication free of charge when patients
are at risk of interrupting therapy.
• Insured no interruption in therapy by referring calls to a pharmacist for patient counseling.
EDUCATION
Montclair State University - Upper Montclair, NJ
Bachelor of Science in Marketing
LICENCES
NJ Department of Banking - Producer License - Life and Health (Medicare Supplements)
COMPUTER / LANGUAGE SKILLS
Proficient with all Microsoft Office Suite applications: Word, Outlook, Access, Excel. Fluent in English
and Italian.

More Related Content

What's hot

Santrail Nicole Johnson Updated March2016 Resume
Santrail Nicole Johnson Updated March2016 ResumeSantrail Nicole Johnson Updated March2016 Resume
Santrail Nicole Johnson Updated March2016 ResumeSantrail Johnson
 
JeanNe_Jones Resume 5.19.15
JeanNe_Jones Resume 5.19.15JeanNe_Jones Resume 5.19.15
JeanNe_Jones Resume 5.19.15JeanNe Jones
 
Csisk Resume DME 2017
Csisk Resume DME 2017Csisk Resume DME 2017
Csisk Resume DME 2017Chris Sisk
 
Jude Diokno Resume Sales Representative
Jude Diokno Resume Sales RepresentativeJude Diokno Resume Sales Representative
Jude Diokno Resume Sales RepresentativeJude Diokno
 
Resume - Jigar Jadav
Resume - Jigar JadavResume - Jigar Jadav
Resume - Jigar JadavJigar Jadav
 
Karen Galvan.professional resume
Karen Galvan.professional resumeKaren Galvan.professional resume
Karen Galvan.professional resumeKaren Galvan
 
new resume of Jay Wash 032016
new resume of Jay Wash 032016new resume of Jay Wash 032016
new resume of Jay Wash 032016Jay Wash
 
Matt Hutchison resume 2016
Matt Hutchison resume 2016Matt Hutchison resume 2016
Matt Hutchison resume 2016Matt Hutchison
 
Karen feiler12 21 2015
Karen feiler12 21 2015Karen feiler12 21 2015
Karen feiler12 21 2015Karen Feiler
 
Kenneth Petrie Resume 2015
Kenneth Petrie Resume 2015Kenneth Petrie Resume 2015
Kenneth Petrie Resume 2015Ken Petrie
 

What's hot (20)

Deborah Alston Resume
Deborah Alston ResumeDeborah Alston Resume
Deborah Alston Resume
 
Resume November 2015
Resume November 2015Resume November 2015
Resume November 2015
 
Susan_Bellerose-O'Donnell_Resume
Susan_Bellerose-O'Donnell_ResumeSusan_Bellerose-O'Donnell_Resume
Susan_Bellerose-O'Donnell_Resume
 
Santrail Nicole Johnson Updated March2016 Resume
Santrail Nicole Johnson Updated March2016 ResumeSantrail Nicole Johnson Updated March2016 Resume
Santrail Nicole Johnson Updated March2016 Resume
 
Brandee 2015
Brandee 2015Brandee 2015
Brandee 2015
 
JeanNe_Jones Resume 5.19.15
JeanNe_Jones Resume 5.19.15JeanNe_Jones Resume 5.19.15
JeanNe_Jones Resume 5.19.15
 
Philresume2017
Philresume2017Philresume2017
Philresume2017
 
Resume New sept 2016 (2)
Resume New sept 2016 (2)Resume New sept 2016 (2)
Resume New sept 2016 (2)
 
Csisk Resume DME 2017
Csisk Resume DME 2017Csisk Resume DME 2017
Csisk Resume DME 2017
 
Jude Diokno Resume Sales Representative
Jude Diokno Resume Sales RepresentativeJude Diokno Resume Sales Representative
Jude Diokno Resume Sales Representative
 
Monica H
Monica HMonica H
Monica H
 
Resume - Jigar Jadav
Resume - Jigar JadavResume - Jigar Jadav
Resume - Jigar Jadav
 
Karen Galvan.professional resume
Karen Galvan.professional resumeKaren Galvan.professional resume
Karen Galvan.professional resume
 
My_Resume_2017
My_Resume_2017My_Resume_2017
My_Resume_2017
 
new resume of Jay Wash 032016
new resume of Jay Wash 032016new resume of Jay Wash 032016
new resume of Jay Wash 032016
 
Matt Hutchison resume 2016
Matt Hutchison resume 2016Matt Hutchison resume 2016
Matt Hutchison resume 2016
 
Zach Resume
Zach ResumeZach Resume
Zach Resume
 
Karen feiler12 21 2015
Karen feiler12 21 2015Karen feiler12 21 2015
Karen feiler12 21 2015
 
Michael Maring-4-15r
Michael Maring-4-15rMichael Maring-4-15r
Michael Maring-4-15r
 
Kenneth Petrie Resume 2015
Kenneth Petrie Resume 2015Kenneth Petrie Resume 2015
Kenneth Petrie Resume 2015
 

Viewers also liked

Singerling_Shea-Daniel_FinalPPP
Singerling_Shea-Daniel_FinalPPPSingerling_Shea-Daniel_FinalPPP
Singerling_Shea-Daniel_FinalPPPShea Singerling
 
Group atmosphere
Group atmosphereGroup atmosphere
Group atmosphereDan Alzate
 
Tugas 1 - Materi Basic Bussines - Muda Juara 2015 - Oleh: Aditya Gumbira
Tugas 1 - Materi Basic Bussines - Muda Juara 2015 - Oleh: Aditya GumbiraTugas 1 - Materi Basic Bussines - Muda Juara 2015 - Oleh: Aditya Gumbira
Tugas 1 - Materi Basic Bussines - Muda Juara 2015 - Oleh: Aditya GumbiraAditya Gumbira
 
La Universidad: Una Institución con Responsabilidad Social Tridimensional
La Universidad: Una Institución con Responsabilidad Social TridimensionalLa Universidad: Una Institución con Responsabilidad Social Tridimensional
La Universidad: Una Institución con Responsabilidad Social TridimensionalLuis Manuel Martínez Domínguez
 
Service oriented change and collaboration
Service oriented change and collaborationService oriented change and collaboration
Service oriented change and collaborationPaddy Baxter
 
La Responsabilidad Social Corporativa en las instituciones educativas
La Responsabilidad Social Corporativa en las instituciones educativasLa Responsabilidad Social Corporativa en las instituciones educativas
La Responsabilidad Social Corporativa en las instituciones educativasLuis Manuel Martínez Domínguez
 

Viewers also liked (10)

SS -- Presentation Business Plan
SS -- Presentation Business PlanSS -- Presentation Business Plan
SS -- Presentation Business Plan
 
Singerling_Shea-Daniel_FinalPPP
Singerling_Shea-Daniel_FinalPPPSingerling_Shea-Daniel_FinalPPP
Singerling_Shea-Daniel_FinalPPP
 
Group atmosphere
Group atmosphereGroup atmosphere
Group atmosphere
 
Tugas 1 - Materi Basic Bussines - Muda Juara 2015 - Oleh: Aditya Gumbira
Tugas 1 - Materi Basic Bussines - Muda Juara 2015 - Oleh: Aditya GumbiraTugas 1 - Materi Basic Bussines - Muda Juara 2015 - Oleh: Aditya Gumbira
Tugas 1 - Materi Basic Bussines - Muda Juara 2015 - Oleh: Aditya Gumbira
 
SS15 Pressbook
SS15 Pressbook  SS15 Pressbook
SS15 Pressbook
 
Tide Process for Print
Tide Process for PrintTide Process for Print
Tide Process for Print
 
La Universidad: Una Institución con Responsabilidad Social Tridimensional
La Universidad: Una Institución con Responsabilidad Social TridimensionalLa Universidad: Una Institución con Responsabilidad Social Tridimensional
La Universidad: Una Institución con Responsabilidad Social Tridimensional
 
Service oriented change and collaboration
Service oriented change and collaborationService oriented change and collaboration
Service oriented change and collaboration
 
La Responsabilidad Social Corporativa en las instituciones educativas
La Responsabilidad Social Corporativa en las instituciones educativasLa Responsabilidad Social Corporativa en las instituciones educativas
La Responsabilidad Social Corporativa en las instituciones educativas
 
SS15 Lookbook
SS15 LookbookSS15 Lookbook
SS15 Lookbook
 

Similar to Experienced Healthcare Professional Seeks New Opportunity

Monica Wrights Resume
Monica Wrights ResumeMonica Wrights Resume
Monica Wrights Resumemonica wright
 
Francine Martin Resume June 2016
Francine Martin Resume June 2016Francine Martin Resume June 2016
Francine Martin Resume June 2016Francine Martin
 
Tammy Brown Resume Claims
Tammy Brown Resume ClaimsTammy Brown Resume Claims
Tammy Brown Resume ClaimsTammy Brown
 
PD Client Account Manager May 2015
PD Client Account Manager May 2015PD Client Account Manager May 2015
PD Client Account Manager May 2015Al Duncan
 
Current resume mary_elizabeth_garden
Current resume  mary_elizabeth_gardenCurrent resume  mary_elizabeth_garden
Current resume mary_elizabeth_gardenMary Elizabeth Garden
 
Joy's resume 12102015
Joy's resume 12102015Joy's resume 12102015
Joy's resume 12102015Joy Moss
 
Julie Urias Resume Updated 1
Julie Urias Resume Updated 1Julie Urias Resume Updated 1
Julie Urias Resume Updated 1Julie Urias
 
JOSIE RODRIGUEZ resume 022012
JOSIE RODRIGUEZ resume 022012JOSIE RODRIGUEZ resume 022012
JOSIE RODRIGUEZ resume 022012Josie Rodriguez
 
hortas 08172015 anthem ii
hortas 08172015 anthem iihortas 08172015 anthem ii
hortas 08172015 anthem iiSalvador Horta
 
Farrah Denson resume
Farrah Denson resumeFarrah Denson resume
Farrah Denson resumeFarrah Denson
 
Jennifer Lane Resume
Jennifer Lane ResumeJennifer Lane Resume
Jennifer Lane ResumeJennifer Lane
 
Amy Rea Resume 2016 copy
Amy Rea Resume 2016 copyAmy Rea Resume 2016 copy
Amy Rea Resume 2016 copyAmy Rea
 
Jenny Hedtke Resume
Jenny Hedtke ResumeJenny Hedtke Resume
Jenny Hedtke ResumeJenny Hedtke
 

Similar to Experienced Healthcare Professional Seeks New Opportunity (20)

Monica Wrights Resume
Monica Wrights ResumeMonica Wrights Resume
Monica Wrights Resume
 
Francine Martin Resume June 2016
Francine Martin Resume June 2016Francine Martin Resume June 2016
Francine Martin Resume June 2016
 
Eli's Folder 2
Eli's Folder 2Eli's Folder 2
Eli's Folder 2
 
Tammy Brown Resume Claims
Tammy Brown Resume ClaimsTammy Brown Resume Claims
Tammy Brown Resume Claims
 
PD Client Account Manager May 2015
PD Client Account Manager May 2015PD Client Account Manager May 2015
PD Client Account Manager May 2015
 
Current resume mary_elizabeth_garden
Current resume  mary_elizabeth_gardenCurrent resume  mary_elizabeth_garden
Current resume mary_elizabeth_garden
 
Resume_whitneybrian
Resume_whitneybrianResume_whitneybrian
Resume_whitneybrian
 
Joy's resume 12102015
Joy's resume 12102015Joy's resume 12102015
Joy's resume 12102015
 
Julie Urias Resume Updated 1
Julie Urias Resume Updated 1Julie Urias Resume Updated 1
Julie Urias Resume Updated 1
 
JOSIE RODRIGUEZ resume 022012
JOSIE RODRIGUEZ resume 022012JOSIE RODRIGUEZ resume 022012
JOSIE RODRIGUEZ resume 022012
 
Michelle-Evans Resume2016use
Michelle-Evans Resume2016useMichelle-Evans Resume2016use
Michelle-Evans Resume2016use
 
hortas 08172015 anthem ii
hortas 08172015 anthem iihortas 08172015 anthem ii
hortas 08172015 anthem ii
 
Danielle Robinson Resume
Danielle Robinson ResumeDanielle Robinson Resume
Danielle Robinson Resume
 
Farrah Denson resume
Farrah Denson resumeFarrah Denson resume
Farrah Denson resume
 
RESUME
RESUMERESUME
RESUME
 
Jennifer Lane Resume
Jennifer Lane ResumeJennifer Lane Resume
Jennifer Lane Resume
 
Amy Rea Resume 2016 copy
Amy Rea Resume 2016 copyAmy Rea Resume 2016 copy
Amy Rea Resume 2016 copy
 
Management 02.16
Management 02.16Management 02.16
Management 02.16
 
Resume- Barbee-(2)
Resume- Barbee-(2)Resume- Barbee-(2)
Resume- Barbee-(2)
 
Jenny Hedtke Resume
Jenny Hedtke ResumeJenny Hedtke Resume
Jenny Hedtke Resume
 

Experienced Healthcare Professional Seeks New Opportunity

  • 1. Maria Macchiavello 7 Floyd Drive Totowa, New Jersey 07512 Email: m3m567@hotmail.com Home: 973-997-8808 Top performer experienced in client service, financial performance, strategic relationship building and cross functional team leadership used to contribute to the profitability, efficiency, and success of a Fortune 50 corporation. Self-starter with proven track record of increased responsibility in the health care services and pharmaceutical products sectors. Able to work collaboratively with key matrix partners in dynamic environments while rendering deliverables in a timely and accurate fashion. Excellent perception and analytical skills, coupled with the ability to drive process and workflow improvements. PROFESSIONAL EXPERIENCE Contracting: Sodexo, Food Service (Contracting) Nov, 2013-Jan, 2015 Providing Students with excellent Customer Service, in serving food and working at the register at lunch times. Café Borbone (Contracting) July, 2014-October, 2014 • Customer Service/Account management responsibilities such as taking orders placed over the phone or in person. • Working with people in the warehouse to insure optimal packaging of our products (coffee, soup). Knowledge of our products, and Recommendations to Customers. • Insuring correct pricing. • Accounts Payables. • Accounts Receivables. David’s Bridal’s Aug, 2011-September, 2011 Consultant (Temporary Position) • Helping Brides to find their dream Wedding Dress. • Taking measurements of Brides and Bridal Party • Computer knowledge to insure inventory of Dresses. Ricci & Fava, Law Firm June, 2011- August, 2011 Administrative Assistant (Temporary Position) Giulia Specialty Foods, Inc. – lodi, NJ March 2011 - May 2011 Manager, Customer Relations ( Temporary Position) • Receive and process purchase orders from new and existing clients into the system. Enter sales orders, produce bills of lading, produce invoices. • Work with international suppliers to exceed customers’ demands and expectations. • Develop and maintain productive work relations with key suppliers and wholesalers. Aflac, Lindhurst, NJ - (Temporary Position). August 2008 - December 2008
  • 2. Obtained Broker’s Licence. Benefits Consultant/Broker- Educated new clients and existing clients on Life & Health Insurance benefits. • Educated new and existing clients on Medicare benefits. • Assessment of prospective new customers by cold calling. • Administered Life and Health benefits for existing customers. Bradley Pharmaceuticals - Fairfield, NJ March 2007 - November 2007 Manager, Sales and Trade Relations (Temporary Position) • Managed product launches for key divisions: Kenwood Therapeutics and Doak Dermatologics. Served as key point of customer contact during product launches. • Worked with product managers through all aspects of product launch cycle including: obtaining sales projections, pricing models, and offer letters. • Worked cross functionally with Internal Sales, Marketing, and various operational teams to adhere to tight timelines • Assisted in the company’s successful expansion into womens’ health segment, during the launch of Estradiol Gel 0.06% (Elestrin). Reviewed and approved promotional materials . • Worked with Clinical Director, Regulatory and Manufacturing to obtain necessary product information for inclusion on Healthcare Distribution (HDMA) form. • Contacted major wholesalers (McKesson, Cardinal and ABC) to discuss available marketing programs and brief them on the new product. Medco Health Solutions, LLC – Franklin Lakes, NJ December/1992-November 2006 Account Manager Medco – United Healthcare Division May 2005 - November 2006 • Ensured accuracy of plan set-up by assessing client business requirements / parameters. • Presented system enhancements and relevant new procedures to clients. • Worked with internal functional areas to install or update prescription benefits . • Designed prescription mail programs for various clients. • Developed database queries to provide clients requested data. • Partnered with Finance department to process client reimbursements. • Pro-Actively researched root cause of incorrect claim adjudication, and provided recommendations to prevent payment of penalties. • Worked with Clinical area to insure correct Formulary and Tier placement of medication. • Represented Account Management on company wide Reliability meetings. • Maximized growth and pull-through opportunities to achieve business and program up sell goals using extensive product knowledge and installation experience, particularly for Health Plan, Medicare Part D, and Consumer Driven plan designs. • Leveraged deep technical knowledge of Medco operating and service delivery platforms encompassing mail service, client profile, plan file, customer service, and claims processing to effectively complete the high-profile project. • Tracked customer service problems, continually assessing plan performance. • Managed new benefit installations and plan modifications. Client Service Specialist October 2003 - August 2004 • Researched escalated client and internal account management issues and responded back to clients and account teams with resolution and findings • Investigated and updated members’ eligibility and prior authorization records • Worked with Claims Department to resolve claim adjudication issues • Researched member specific prescription benefits and update at client’s request • Adjusted and reimbursed member overpayments • Researched member billing discrepancies addressing necessary adjustments and credits. • Worked with Managed Care team to track and update prior authorizations. Call Center Lead-Special Projects December 2002 - October 2003 • Directly contacted patients and local agencies from Gatekeeper referrals.
  • 3. • Provided feedback/coaching forms to representatives. • Presented new pharmacist transfer processes to all representatives using an interactive classroom format. • Formulated and presented new expedited shipping SOPs. Customer Service Account Representative August 2000 - December 2002 • Handled high volume of inbound calls daily, to assist members with all prescription plan inquiries and related trouble-shooting. • Provided members with specific prescription benefits in relation to co pays, deductibles, out of pocket expenses and floor limits dictated by their plan. • Researched process flow of prescriptions and provided order delivery date. • Ordered refills for members; expedited orders when appropriate. • Entered system approvals to allow short term supplies of medication free of charge when patients are at risk of interrupting therapy. • Insured no interruption in therapy by referring calls to a pharmacist for patient counseling. EDUCATION Montclair State University - Upper Montclair, NJ Bachelor of Science in Marketing LICENCES NJ Department of Banking - Producer License - Life and Health (Medicare Supplements) COMPUTER / LANGUAGE SKILLS Proficient with all Microsoft Office Suite applications: Word, Outlook, Access, Excel. Fluent in English and Italian.