• Troubleshooting electronic, faxed, and verbal prescriptions via routing to appropriate channels into pharmacy systems • Review and update patient insurance using payer portals and phone resources • Determining appropriate situations for a prior authorization (PAs) need via payer-specific tools; troubleshoot denials and escalations • Utilize reroute best practices for orders falling outside normal workflow, including orders with state changes, insurance exceptions, pharmacy rejections, or failed transfers • Navigate operational platforms (e.g., BestRx, Ops Dash, Partner Dash, RelayHealth, etc.) and vendor systems effectively • Follow reroute protocols for specific tags including: non-contracted pharmacies, state shipping changes, PP send-backs, transfer not received, and more • Proactively document process notes with clear routing details, claim updates, and actions taken • Communicate with partner pharmacies, provider offices, and insurance carriers to resolve issues or clarify documentation • Collaborate with At-Risk, Partner Management, and PPM teams to escalate or flag orders based on system outages, stock issues, or policy refusals • Maintain productivity in the Reroute queue even during extended call hold times (e.g., multitask during insurance calls) • Ensure all patient, prescriber, and partner communications are clear, professional, and aligned with Phil’s standards of care

• Assisting patients in receiving needed medications to help manage rare and/or chronic diseases. • Engaging patients, insurance companies, and multiple departments to process orders and ensure timely shipment of medications. • Accurately entering prescriptions into the system. • Researching issues with pharmacists and doctors’ offices and providing guidance to patients about medication coverage. • Handling multiple requests and documenting information in the computer system.

• Manage consulting projects to deliver strategic, operational, and analytical solutions for clients. • Develop and execute project plans that align with timelines, budgets, and expected outcomes. • Analyze and interpret complex data sets to identify trends, insights, and opportunities for improvement. • Present recommendations and findings to client leadership and key stakeholders. • Facilitate client meetings, discussions, and project updates. • Manage mid to senior-level client relationships and maintain alignment on project expectations. • Utilize project management methodologies to guide work efforts and ensure successful project delivery. • Identify opportunities to enhance products, services, tools, or methodologies within the functional area. • Support business development efforts by identifying potential upsell opportunities and collaborating with senior team members. • Contribute to the development and sharing of intellectual capital, best practices, and example deliverables across the team.

• Responsible for state policy portfolio including pharmacist licensure, pharmacy shares services, PBM, occupational/facility licensure, and federal preemption. • Analyze, define and communicate critical trends in state legislative and regulatory environments; track state legislation of interest; identify or predict probable legislative or regulatory outcomes. • Develop regulatory and legislative responses to proposed rules/laws including regulatory comment letters, issue briefs, talking points, white papers, and PowerPoint presentations. • Counsel Humana businesses on state public policy risks/opportunities and translating those into clear business impact analysis. • Work with internal business partners to identify assets Humana has to augment public policy positions such as: data; resources; subject matter experts; and 'thought leaders'. • Leverage experience and relationships to support advocacy efforts with state government officials and regulators with specific focus on state boards of pharmacies and National Association of Boards of Pharmacy.