Janus has previously worked for a major pharmacy benefit manager (PBM). He has experience with client correspondence, data analysis and reporting, and performance guarantee tracking. In addition, Janus held positions in internal audit and contracts.
Janus’s specialty is in pharmacy claims auditing and performance guarantees. He assisted the contract management team to ensure the customer, pharmacy, and vendor adhered to a contract’s terms and conditions. He has supported a wide range of clients including Medicare Part D plans, state Medicaid plans, health plans, self-insured employer groups, and third party administrators.
Janus’s experience includes:
Account management
Benefit plan design
Contracting
Copay programs and financial assistance
Data analysis and reporting
Insurance and health reimbursement
Medicare Part D data validation
Medicare Part D Employer Group
Waiver Plans (EGWP)
Medicare Part D Retiree Drug Subsidy (RDS)
PBM market check
Performance guarantees
Pharmacy benefit manager audits
Pharmacy claims processing
Prior authorization processing
Proposals
