Tan S. Email & Phone Number

Puerto Rico

I am the operations leader responsible for high level organizational Issue Management oversight for all lines of business (all clients), monitoring operational performance and making recommendations for process improvements. I partner with other leaders to assess and solution all reported operational issues. I manage and provide direction to the Issue Management Team regarding prioritization of tasks, timelines, deliverables, employee training, and deadline adherence. I lead the company-wide… Show more I am the operations leader responsible for high level organizational Issue Management oversight for all lines of business (all clients), monitoring operational performance and making recommendations for process improvements. I partner with other leaders to assess and solution all reported operational issues. I manage and provide direction to the Issue Management Team regarding prioritization of tasks, timelines, deliverables, employee training, and deadline adherence. I lead the company-wide issue management process to ensure all incidents are addressed and resolved, and work-arounds or mitigations are in place within the expected SLAs. I monitor operations support activities and am a contact point for clients and other leaders in all areas of pharmacy operations. Show less

The PBM operations commercial project manager plays a pivotal role in liaising with clients to address individual member concerns and tackle larger service-related issues within Pharmacy Benefits Operations that may impact multiple plan members. They are an integral part of a team that acts as the primary point of contact for direct client engagement and support, managing the overall member experience at the plan and operations level.

Proficient in the field of analyzing, creating, and overseeing requests concerning clinical criteria and correspondence across all review systems. Adapting to various lines of business in accordance with client delegation agreements, internal and external audits, Utilization Management (UM) committee guidelines, and overall business continuity needs. Utilizing expertise in Clinical Review Systems, Utilization Management programs, decision-making logic, accreditation prerequisites, client… Show more Proficient in the field of analyzing, creating, and overseeing requests concerning clinical criteria and correspondence across all review systems. Adapting to various lines of business in accordance with client delegation agreements, internal and external audits, Utilization Management (UM) committee guidelines, and overall business continuity needs. Utilizing expertise in Clinical Review Systems, Utilization Management programs, decision-making logic, accreditation prerequisites, client standards, and analytical problem-solving experience to assist Prime's clinical review team. Show less