The PBM Operations Team Lead manages a multi-disciplinary team to ensure accuracy in eligibility, accumulators, and claims adjudication for client accounts. This role drives operational excellence, process improvements, and cross-functional collaboration to resolve complex issues and support organizational growth.
The Risk Performance Analyst supports enterprise goals by identifying and addressing financial, clinical, and client retention risks across departments. They are responsible for tracking interdepartmental risks, engaging stakeholders, and providing performance reports to leadership.