Evelyn Aponte

Conduct outbound member outreach to educate individuals on transitioning medications to specialty pharmacy services.

Partner with physicians and office staff to deliver ongoing education on specialty pharmacy processes and effective utilization of Aetna benefit plans.

Serve as a subject‑matter resource for providers, improving understanding of specialty pharmacy workflows and supporting optimized patient outcomes

• Provide Site of Care policy support, guiding physician offices and patients on appropriate treatment settings based on benefit design and clinical guidelines.
• Collaborate with cross‑functional teams and senior organizational stakeholders to ensure compliance, support policy implementation and coordinate seamless delivery of care.

• Managed new account onboarding, leading enrollment meetings and delivering comprehensive benefits education to employer groups.
• Served as the primary point of contact for assigned accounts, maintaining strong client relationships and ensuring high levels of satisfaction.
• Provided day‑to‑day support to employer groups regarding benefit administration, claims resolution, and policy inquiries.
• Collaborated closely with brokers and internal Blue Cross teams to ensure seamless service delivery and timely issue resolution.