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Data Consultant / OHI Enrollment Recovery Associate (PBM Support Specialist)
Insight Global • Freelance
Oct 2023 - Oct 2025 • 2 yrs
Compiled, analyzed, and validated member enrollment data while maintaining compliance with HIPAA, PHI, and CMS policies. Determined coordination of benefits for medical and pharmaceutical claims across Medicare and Medicaid plans. Utilized AI and API tools for ETL processes to automate enrollment verification and facilitate large-scale dataset migration. Engineered PBM verification processes that increased RX return revenue by 10% while meeting NHQA standards.