Megan A Balmer
Greenfield Twp.
Summary
Experienced Senior Account Installation Representative with over 10 years of expertise in pharmacy benefit configurations, PBM implementation, and healthcare plan setup. Proven track record of delivering accurate, high-quality plan installations while managing complex implementations across multiple platforms. Recognized for strong decision-making, strategic thinking, and the ability to drive results in fast-paced, matrixed environments. Highly skilled in relationship management, cross-functional collaboration, and team mentorship. Known for exceptional communication abilities, a meticulous eye for detail, and commitment to process improvement and service excellence. Trusted contributor and dependable leader, ready to add value through a well-rounded and solutions-oriented skill set.
Overview
13
13
years of professional experience
Work History
Account Installation Senior Representative
The Cigna Group
05.2022 - Current
- Oversee and manage the end-to-end installation, implementation, and maintenance of assigned client accounts, ensuring timely and accurate delivery.
- Review, configure, load, and update pharmacy benefit plans within internal systems to ensure compliance and optimal functionality.
- Analyze complex benefit requests and gather required data to ensure accurate configuration and seamless alignment with ESI systems.
- Monitor and manage the pharmacy benefit setup process, including account and change setup, ensuring all elements are accurately structured and loaded into applicable platforms.
- Lead and independently manage multiple mid-to-high complexity implementations and account modifications, including CSNs for commercial platforms.
- Identify opportunities for process improvement, proactively mitigate risks, and implement solutions to enhance accuracy and efficiency in account setup.
- Ensure all policy and procedure documentation is thorough, up-to-date, and easily accessible.
- Accurately update plans in the Pharmacy Vendor System and ensure all transactions are well-documented and auditable.
- Support additional platforms and cross-functional projects as needed, including onboarding and operational process improvement initiatives.
- Provide mentorship and training to Implementation Setup Representatives, fostering growth and maintaining high-quality standards.
- Demonstrate adaptability in a dynamic, fast-paced environment by responding effectively to internal changes across Cigna, ESI, and matrix partners.
- Maintain expert-level proficiency in navigating Windows-based systems and related technology platforms.
- Consistently meet or exceed performance metrics and quality standards in a deadline-driven, high-volume setting.
Pharmacy Client Account Support Analyst
The Cigna Group
11.2018 - 05.2022
- Building strong rapport with internal/external clients.
- Successfully and independently manage multiple monthly reporting.
- Identify possible pharmacy issues through Tech Central Incidents by reviewing and analyzing benefits and client intent.
- Email responses for inquiry.
Pharmacy Customer Service Sr Associate/Subject Matter Expert - OneRx
The Cigna Group
10.2012 - 11.2018
- Inbound call center resolving questions/concerns for pharmacy benefits.
- Personal guide dedicated to one call resolution.
- Ability to multi-task by actively listening, researching, and notating.
- Leader abilities to assist team members with escalated and complex inquiries.
- Utilized excellent communication skills to provide superior customer service and support.
- Ensured quality assurance standards were met throughout the entire process from conception through delivery.
Education
HS Diploma -
Valley View High School
Archbald, PA06.2003
Skills
- Experience: Over 10 years of experience in Pharmacy, PBM (Pharmacy Benefit Management), and healthcare implementation
- Systems Expertise: Proficient in Pharmacy Vendor Systems, Windows-based applications, and internal tools used across Cigna and ESI platforms
- Project Management: Proven ability to manage complex implementations independently, with a strong focus on accuracy, compliance, and customer satisfaction
- Adaptability: Thrives in a continuously evolving environment, quickly adapting to new processes, systems, and organizational structures
- Communication: Strong documentation, organizational, and mentoring skills with the ability to collaborate across matrixed teams
References
References available upon request.
Timeline
Account Installation Senior Representative
The Cigna Group
05.2022 - Current
Pharmacy Client Account Support Analyst
The Cigna Group
11.2018 - 05.2022
Pharmacy Customer Service Sr Associate/Subject Matter Expert - OneRx
The Cigna Group
10.2012 - 11.2018
HS Diploma -
Valley View High School
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