Hala Mourad

About Hala Mourad

Everyone I have worked with – supervisors, colleagues, staff, and even clients – has…

Experience

1. Senior Manager, Medical Compliance and Regulation, Clinical Prior Authorization (Pa)

   UnitedHealth Group

   Apr 2015 — Present · Chicago, IL, US

   SENIOR MANAGER, MEDICAL COMPLIANCE AND REGULATION, CLINICAL PA Ensured corporate compliance with operational and clinical regulations; built critical compliance processes/procedures to align with Medicare and commercial guidelines. Realized more than 15 positive CMS audits after leading preparation. Collaborated with physicians to maintain adherence to clinical criteria for pharmaceutical drugs. Established and/or revamped processes to reflect changes from company acquisition and the ACA. MANAGER, PA PHARMACISTS - June 2013- April 2015 Directed clinical call center, leading up to 85 pharmacists, pharmacy technicians, and administrative professionals. Measurably increased quality, Service Level Agreement (SLA), and Turnaround Time (TAT) scores after designing and implementing series of process improvements. Established new site in Indianapolis, Indiana, and transitioned Center of Excellence from Portland, Oregon to Lisle, Illinois. TEAM LEAD, PA PHARMACISTS - June 2012- June 2013 Built, developed, and managed high-producing team of pharmacists. Applied Six Sigma and SIPOC techniques to operational processes, resulting in improvements in quality and efficiency. Selected to serve as operational and clinical liaison between company and clients. PHARMACIST, PAs - January 2010 - June 2012 Steadily surpassed productivity goals by 75% while delivering world-class service. Streamlined processes within mail order pharmacy, enabling 24-hour service.

Education

• Wayne State University

  Bachelor of Pharmacy (B.Pharm.)

• Wayne State University

  Bachelor's degree

Skills

• Microsoft Word
• Hospitals
• Cms
• Building World Class Teams
• Community Outreach
• Quality Improvement
• Regulatory Compliance
• Relationship Building
• Microsoft Excel
• Powerpoint
• Teaching
• Medication Therapy Management
• Auditing
• Staff Development
• Patient Safety
• Medicare Part D
• Affordable Care Act
• Hipaa
• Clinical Quality
• Clinical Pharmacy
• Medical Compliance
• Social Media
• Employee Engagement
• Training
• Patient Education
• Pharmacy
• Healthcare Management
• Pharmaceutical Industry
• Operations Process Improvement
• Managed Care
• Prior Authorization
• Public Speaking
• Clinical Research
• Medicare
• Process Quality Improvement
• Performance Improvement
• Strategic Planning
• Pharmacy Benefit Management
• Customer Service
• Research