Azmina Nayani

Clinical Pharmacist | Optimizing Patient Outcomes | Medication Therapy Management (MTM)| Planetary Health Researcher |

Role
Clinical Pharmacist at Optum
Location
Richmond, TX, US
LinkedIn followers
500 followers
Healthcare & Human ServicesView LinkedIn profile

About Azmina Nayani

Many people think Prior Authorization is just a paperwork process, but it actually plays…

Experience

  1. Clinical Pharmacist

    Optum

    Oct 2025 — Present

    Review medication prior authorization (PA) requests for clinical appropriateness, formulary compliance, and benefit coverage.Apply evidence-based guidelines, medical policies, and drug criteria to make coverage determinations.Collaborate with prescribers, nurses, and pharmacy technicians to obtain necessary clinical information.Document all decisions accurately in accordance with regulatory and organizational standards.Communicate PA decisions to providers, members, and internal departments in a timely manner.Evaluate therapeutic alternatives and ensure cost-effective medication use.Identify potential drug interactions, contraindications, or dosing errors during review.Support appeals, peer reviews, and other utilization management processes.Maintain up-to-date knowledge of formulary changes, new drug approvals, and treatment guidelines.Participate in quality improvement initiatives and staff education activities.

Education

  • CU Anschutz Skaggs School of Pharmacy and Pharmaceutical Sciences

    Masters in Clinical Pharmacy (MsClin), Pharmacotherapy

  • Sultan Mohamed Shah Aga Khan School, Karachi

    High School

    2004

  • Hamdard University

    Doctor of Pharmacy (Pharm.D.), Pharmacy

    2005 — 2009

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Azmina Nayani — Clinical Pharmacist at Optum in Richmond, TX, US | Unifers