Lumeris

Responsible for reviewing, researching, and resolving healthcare appeals while ensuring compliance with state and federal regulations. The role involves documenting appeal requests, composing quality written responses, and communicating resolutions to members and providers.

Design and operationalize pharmacy performance analytics to improve medication adherence, Part D quality outcomes, and drug cost management. Translate complex PBM and health plan data into actionable insights and automated reporting for executive leadership.

Design and operationalize quality analytics capabilities to improve Medicare Advantage Stars and HEDIS outcomes. Translate complex health plan data into actionable insights and automated reporting products to drive clinical quality improvement.

Lead the end-to-end lifecycle marketing strategy and customer journey orchestration for members, brokers, and providers. Manage the martech roadmap with a primary focus on optimizing Salesforce Marketing Cloud to drive revenue and retention.

Lead the development and operationalization of marketing measurement capabilities, including MMM and attribution frameworks, to optimize growth in the Medicare Advantage market. Act as the analytical authority to validate agency performance and provide data-driven strategic recommendations to executive leadership.