Jamie Linville

I am a seasoned pharmacy benefits and compliance professional with 16 years of experience across PBM and insurance industries, including extensive work with Commercial, Medicaid, Marketplace, EGWP, and Part D programs. I combine hands-on benefits configuration, client implementations, and audit support with strong analytical skills.

In my recent roles I have led compliance audit support, developed standard audit materials and guidelines, and managed remediation and corrective action plans while coordinating cross-functional teams. I present audit findings to leadership and work directly with clients to ensure regulatory and contractual alignment.

I have supported PBM market checks, RFPs, PBM implementations, Part D data validation audits, and CMS guidance for clients. I also have operational experience in customer service, pharmacy networks, prior authorization, formulary administration, and claim adjudication processes.

I prioritize process improvement, education, and knowledge sharing to close gaps and elevate compliance activities. I seek opportunities where I can apply my PBM, audit, and regulatory expertise to protect clients and improve program performance.