Internally usually with own department; on occasion with Membership Accounting, Contracts, Corporate Communications, Corporate Compliance, Customer Service, EDI, Group Integration, Health Care Service, Information Services, Marketing, Medical Claims, Medicare Programs, and Professional Relations. Responsible for coding new plans and changes into the third-party PBM database and internal claims adjudication system: ensuring the performance of post implementation audits to ensure customer billing, pharmacy payment, and benefit structure are consistent with contract terms.