Jasmin Guzman

About

I led and managed pharmacy projects for large market clients, helping them optimize their pharmacy benefits and reduce their plan costs. I have over 14 years of experience in the PBM industry, with a focus on vendor management, PBM procurement, benefit audits, market checks, and contract renewals. I have a deep understanding of the pharmacy benefits market and the challenges employers face in managing their pharmacy programs. I provide consulting and insights based on Rx data, qualitative reviews of RFPs, and coordination with vendor partners. I also have multiple certifications in agile, email marketing, and social CRM, which enable me to deliver value propositions and solutions that meet the needs of my clients and stakeholders.

Experience

• Senior Associate · WTW2023-03-01 – 2023-05-01
• Lead Associate · WTW2017-09-01 – 2023-03-01

  Working with a variety of large market clients on pharmacy projects that include vendor management, PBM procurement, benefit audits, market checks and contract renewals.

• Provider Contract Compliance Specialist · Neighborhood Health Plan of Rhode Island2016-05-01 – 2017-03-01
• Senior Account Manager · Catamaran2013-12-01 – 2015-06-01
• Relationship Manager · AmWINS Group2013-03-01 – 2013-12-01
• Account Manager, Health Plans · CVS Caremark Corporation2010-03-01 – 2013-03-01

  Managed the pharmacy benefit prescription plans of a major healthcare provider and its Commercial and Medicare Part D population. Traveled to represent the company at onsite client benefit fairs. Attended and participated in onsite client training on how to navigate CVS Caremark’s claim adjudication system. Worked with Strategic Account Executive, Clinical Account Manager, Benefits Analyst and various departments to ensure client needs were met. Responded to and resolved client issues within established turnaround times. Researched any discrepancies found by clients or internal to find out root cause of issue. Assisted in identifying issues through research in the RxClaim adjudication system, Peoplesafe, and other tools for both commercial and Medicare members. Worked with Benefits coding team identifying and correcting issues/errors that arise in claims adjudication system. Identified and corrected claims that came through PDE, Service Warranty, and adjudication errors. Maintained adjudication system access for clients. Traveled onsite to assist Clients during adjudication system transfers and provide any troubleshooting. Built and maintained solid client relationships by working with internal team members to provide quick turnaround times on any issues that arise and require corrective action. Was readily available to the client to answer questions or facilitate their daily account needs via phone and email.

• National Accounts Representative · Jay Packaging Group2003-01-01 – 2008-01-01

Education

• Johnson & Wales UniversityBachelors, Marketing

Similar talent on Pangea

Liah B.Senior Specialist in Account Management | Customer Success & Operations | Enterprise Healthcare & CRM IntegrationBloomington, MNKayla G.Experienced Account Manager Specializing in Employee BenefitsCottonwood, CA 96022Katayoun D.Experienced Marketing Leader | Strategic Project ManagementLos Angeles, CASerena D.Certified Project Manager and Operations Specialist with Expertise in Healthcare and PharmaceuticalsPhiladelphia, PA