Jillian Lonson
Vice President, Benefits Administration & Operations @Capital Rx
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WORK HISTORY
Vice President, Benefits Administration & Operations @Capital Rx
Operations owner of Judi plan management, member search, claims search and testing modules in Judi-Serve as the primary liaison between operations and product and development teams-Develop enhancement requirements and partner with product and development team to inform the build process and prioritize requests-Test, review, and perform an in-depth analysis of completed benefit, pharmacy, and/or formulary configurations in a pre-production environment to ensure that they function as intended and are ready for delivery to meet client’s business needs-Lead team of Benefit Operations and Configuration Specialists-Track, Monitor and oversee execution of all new plan builds and testing-Analyze claims adjudication results and identify discrepancies, inaccuracies, anomalies, and unintended consequences-Ensure consistent ongoing customer satisfaction by collaborating with the client team, internal business partners, and vendors to ensure client add-on change requests are clearly understood, documented, communicated, tested, and delivered flawlessly-Work with business partners to validate the accuracy of benefit changes by performing non-standard testing of complex benefit designs and reviewing and approving test claims-Serve as point of coordination for benefit configuration issues and issue resolution with product and development teams by identifying the root causes, triaging issues, and supporting resolution-Develop process for claims reconciliation.
EDUCATION
Lake Forest College
Bachelor of Arts - BA, Biology
ABOUT JILLIAN LONSON
Experienced and results-driven professional with over 20 years in the pharmacy benefit management and healthcare industries, specializing in project management. I am passionate about driving impactful outcomes and navigating complex challenges. My career is built on a foundation of strategic thinking, decisive action, and a relentless commitment to excellence. I thrive on turning vision into reality, delivering successful projects, and continuously seeking opportunities to contribute to organizational growth and success.
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