Liviniti

• Build and Implement the Compliance Function • Own and maintain a state-by-state regulatory inventory and monitoring process • Partner with operations and technology to implement requirements in areas such as claims adjudication, MAC pricing, pharmacy network standards, and appeals processes • Build and maintain a continuous state of market conduct exam readiness • Conduct internal readiness reviews and mock exams • Design and implement system-based compliance controls and automated edits within PBM platforms • Oversee PBM responsibilities under the Consolidated Appropriations Act (CAA) • Provide executive leadership for the organization’s HIPAA Privacy, Security, and Breach Notification compliance programs • Serve as executive lead for HIPAA-related incidents, overseeing intake, investigation, risk assessment, and breach determination • Operate as a hands-on leader, directly owning key deliverables in early stages • Build and scale the compliance team over time • Provide regular reporting and insight to executive leadership

• The Account Executive’s primary duty is to maintain and expand relationships with the Company’s customers, vendors, and internal and external contacts to ensure needs and expectations are met and business is retained. • Establish and maintain goodwill. • Develop productive and professional relationships with customers and their associated vendors. • Work independently giving great attention to detail and displaying the initiative to prevent and resolve issues. • Serve as a superior problem solver. • Perform duties with a strong degree of organization/prioritization skills and understanding overall business goals. • Follow through on all tasks to the point of resolution in an educated, accurate, and timely fashion. • Collaborate with team members to ensure a smooth customer experience. • Coordinate internal and external resources, to meet account performance objectives. • Proactively lead the account management process fostering and developing an effective team environment. • Responsible for overall growth, retention, and strategic planning for accounts. • Such responsibilities include assisting in securing new accounts, managing the onboarding processes, promoting new products and solutions to customers, delivering and interpreting reports, consulting with customers by phone or in person, and communicating needs of the customer to other team members. • Make certain the timelines of project implementation are met. • Maintain client satisfaction throughout plan implementation, post-implementation and all other related service activities. • Conduct benefit review presentations. • Abide by all obligations under HIPAA related to Protected Health Information (PHI).

• Provides Liviniti employees and customers with comprehensive knowledge of the claim processing system. • Answers questions and assists with problem resolution. • Manages tickets within a ticketing system; troubleshoots and resolves tickets that are placed in the claims processing queues in a timely manner. • Adjudicates information on multiple software platforms. • Enforces procedures that are put in place by the Benefit Design Supervisor, Director of Claims Processing, and other Leadership. • Identifies and corrects Benefit Design errors within the claims processor based on client documentation. • Provides and potentially presents audit findings to Account Management and, on occasion, the Leadership team. • Facilitates benefit designs for new clients within the claims processor based off of documentation. • Communicates with the Implementation team to discuss and/or ask questions regarding benefit designs for new clients. • Works in conjunction with the Clinical team to input information into the claims processor and makes updates based on extensive testing to ensure the clinical request is to appropriate specifications. • Assists Customer Service Representatives with troubleshooting and resolving issues within our claims processor, when appropriate. • Works in conjunction with an external programming team to analyze and resolve programming error(s) within our claims processor.

• Accountable for the quality of eligibility driving claim adjudication. • Responsible for the data integrity of upstream client eligibility to downstream eligibility shared with vendors and systems. • Responsible for testing, monitoring, issue resolution, and escalations. • Analyze and resolve complex eligibility issues impacting claims, accumulators, and member coverage. • Support root cause analysis for recurring eligibility defects and data discrepancies. • Serve as escalation support for Analyst I/II eligibility issues. • Partner with EDI, Implementation, Adjudication, and QA teams during testing and production support. • Validate eligibility data across multiple systems and identify cross-functional impacts. • Review eligibility outputs for accuracy and adherence to standards. • Maintain and enhance eligibility documentation and processing standards. • Maintain profiles on TPA/TPVs and ensure alignment with Liviniti strategies. • Support audits and internal reviews related to eligibility accuracy. • Monitor production trends and identify areas of risk or improvement. • Ensure compliance with HIPAA, security, and Liviniti standards. • Work closely with clients, vendors, and internal stakeholders to onboard new eligibility feeds and enhancements. • Identify opportunities for automation and process improvement within eligibility workflows. • Abides by all obligations under HIPAA related to Protected Health Information (PHI).

• The Proposal Strategist/Writer manages high complexity weighted proposals. • The Proposal Strategist/Writer works closely with leadership throughout Liviniti to create customized responses to RFx documents that differentiates Liviniti in the market, while developing strategic content tailored to the needs of clients. • This role performs the full range of tasks required to develop a strategic and compliant proposal that is in alignment with client requirements and Liviniti’s brand guidelines. • Provides leadership and guidance of the proposal response, including several SME functional areas and senior leaderships to help in articulating solutions that are in alignment with proposal requirements and client needs. • Creates new proposal text by meeting with subject matter experts or using reference documents. • Edits proposal language to ensure compliance with proposal requirements and incorporates strategic win themes or solutions into the proposal. • Performs a thorough compliance review and quality check of drafts and final proposal version. • Develops a proposal calendar and proposal project plan to ensure the proposal remains on track. • Provides proposal health updates to leadership throughout the proposal development stage, ensuring that milestones are met. • Schedules, coordinates, and participates in color team reviews ensuring compliance with solicitation requirements and client need. • Uses proposal management tools for the effective outreach and engagement of key stakeholders throughout the organization. • Analyzes compliance-driven/technical documentation to determine customer requirements and to understand complex customer issues within the PBM industry. • Formats responses into a professional template in alignment with Liviniti's brand standards. • Participates in proposal kick-off meetings and facilitates discussion on areas of concern. • Reviews and edits content and coordinates with senior leaders to ensure accuracy of revisions. • Submits proposals by the identified due date, coordinating the submission; proactively identifies, communicates, and develops risk mitigation plan to support revenue-generating proposals for Southern Scripts. • Abide by all obligations under HIPAA related to Protected Health Information (PHI).