Implementation And Client Success
CurrentLed customer service delivery of medical and pharmacy claims for 1M+ members. Executed technical deployments and client onboarding by converting functional and business requirements into structured data sets on internal Cloud Platform and Medical Claims engine for Medicare, Medicaid and Commercial/Exchange lines of business. Utilized Oracle SQL to streamline account management operations by producing ad-hoc reports for claims transaction data. Exercised oversight of backlogs, quality assurance criteria for user stories, and user acceptance testing (UAT) of Agile project through scrum programs to facilitate full SDLC lifecycle. Devised and presented monthly, quarterly, and yearly PBM performance reviews comprised of member feedback, financial metrics, web usage analytics, and advised on plan benefit design improvements.