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’ 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’ 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
