The Implementation Support Analyst provides administrative and operational support for pharmacy benefit implementations, including capturing benefit design requirements and maintaining data in the Plan Intent Tool. They also manage implementation activities, track follow-ups, and ensure member materials are accurately prepared and aligned with client needs.
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.
The pharmacist is responsible for conducting clinical prior authorization reviews and appeal determinations while collaborating with providers to ensure appropriate pharmacy care. They also monitor clinical interventions to meet savings goals and provide clinical expertise to internal teams and members.
