Janus Desquitado
Janus Desquitado is a consultant with the San Diego office of Milliman. He joined the firm in 2016, and has been working in health reimbursement and pharmacy since 2010.
Experience
Janus has previously worked for a major pharmacy benefit manager (PBM). He has experience with client correspondence, data analysis and reporting, and performance guarantee tracking. In addition, Janus held positions in internal audit and contracts.
Janus’ specialty is in pharmacy claims auditing and performance guarantees. He assisted the contract management team to ensure the customer, pharmacy, and vendor adhered to a contract’s terms and conditions. He has supported a wide range of clients, including Medicare Part D plans, state Medicaid plans, health plans, self-insured employer groups, and third-party administrators.
Janus’ experience includes:
- Account Management
- Benefit Plan Design
- Contracting
- Copay Programs and Financial Assistance
- Data Analysis and Reporting
- Insurance and Health Reimbursement
- Medicare Part D Data Validation
- Medicare Part D Employer Group Waiver Plans (EGWP)
- Medicare Part D Retiree Drug Subsidy (RDS)
- PBM Market Check
- Performance Guarantees
- Pharmacy Benefit Manager Audits
- Pharmacy Claims Processing
- Prior Authorization Processing
- Proposals
PBM Best Practices Series: Rebate Audit Services (May 2020).
PBM Best Practices Series: Pharmacy benefit claims auditing (September 2023).
- BA, Political Science, University of California, Irvine