Sussan Waingeh is a dedicated Clinical Pharmacist at Aetna, a CVS Health Company, where she leverages over seven years of extensive experience in Pharmacy Benefit Management (PBM) and managed care to enhance patient outcomes and streamline pharmaceutical services. In her current role as Pharmacist-in-Charge, Sussan...
Sussan Waingeh is a dedicated Clinical Pharmacist at Aetna, a CVS Health Company, where she leverages over seven years of extensive experience in Pharmacy Benefit Management (PBM) and managed care to enhance patient outcomes and streamline pharmaceutical services. In her current role as Pharmacist-in-Charge, Sussan is instrumental in conducting thorough clinical reviews for Medicare Part B and Part D clients, meticulously assessing patient eligibility for therapeutic agents in accordance with insurance plan criteria. Her commitment to patient safety and efficacy is evident as she navigates complex coverage determinations, including Non-formulary requests and Prior Authorizations, ensuring that patients receive the most appropriate and effective medications.
Sussan's expertise extends beyond clinical reviews; she is adept at utilizing pharmacy automation technologies to improve operational efficiencies and enhance the overall patient experience. Her strong communication skills enable her to build and maintain trusted relationships with healthcare providers, patients, and stakeholders, fostering a collaborative environment that prioritizes patient-centered care. Additionally, her background in clinical research and health economics equips her with a comprehensive understanding of the healthcare landscape, allowing her to contribute valuable insights into formulary management and medication therapy management programs.
Driven by a mission to improve health outcomes, Sussan is also actively involved in educational initiatives, sharing her knowledge of immunization practices and pharmacy best practices with both patients and healthcare teams. Her customer-focused approach, combined with her problem-solving abilities and conflict resolution skills, positions her as a key player in advancing Aetna's commitment to delivering high-quality, accessible healthcare solutions.
