Lerissa Bufete
Los Angeles,CA
Summary
Senior project analyst and pharmacy benefit expert with extensive experience in leading drug list implementations and complex pharmacy initiatives. Demonstrated success in guiding cross-functional teams, establishing efficient workflows, and driving process improvements. Recognized for influencing stakeholders, mitigating risks, and achieving high-impact results in dynamic environments.
Overview
20
20
years of professional experience
Work History
Senior Business Process Analyst PDL Mgmt
OptumRx UHC Employer and Individual Plans
Remote, CA
01.2022 - Current
- Serve as senior Pharmacy Benefit (PDL/Drug List) Subject Matter Expert, leading complex implementations across UHCEI plans
- Led cross-functional teams (PBM Operations, Formulary, Health Plan stakeholders) to implement and enhance drug lists, ensuring seamless integration across plans
- Drive large-scale benefit configuration and BPL updates, supporting regulatory changes, new programs, and enterprise initiatives
- Lead testing, validation, and quality assurance efforts to ensure accuracy and compliance
- Conduct root cause analysis for complex issues, assessing member and client impact, and leading remediation, including communications and corrective actions
- Acted as SME in enterprise forums (Demand Management, BDLE, BIP, BSRT), facilitating decision-making and aligning cross-program initiatives
E&I Senior Business Analyst
OptumRx Commercial Formulary Operations
Irvine, California
10.2012 - 12.2021
- Manage formulary builds, updates, and change requests
- Analyze discrepancies from QC validation testing and resolve issues
- Support implementation of clinical drug programs and benefit updates
- Provide formulary extracts for regulatory, marketing, and client initiatives
- Act as SME for marketing materials supporting UHCP regulatory initiatives
- Maintain and update job aids based on UHC Client Intent documents
- Perform audits and end-to-end testing to ensure accuracy
- Simplify processes to support regulatory and state mandate implementations
- Train and collaborate with offshore teams to improve workflows
- Partner with IT to develop tools that reduced submissions by 60%
Senior Certified Pharmacy Technician
Walgreens
Northridge, CA
06.2006 - 10.2012
- Managed patient profiles, prescriptions, and inventory processes
- Managed processing of insurance claims and effectively resolved discrepancies
- Maintained accurate inventory and resolved discrepancies
- Managed inventory levels and ensured proper storage of pharmaceuticals.
- Assisted pharmacists in preparing and dispensing medications accurately.
- Facilitated customer compliance with regulations by providing clear guidance and support
- Assisted customers and ensured compliance with regulations
- Enhanced customer experience by addressing medication inquiries and ensuring satisfaction.
Education
CA Board of Pharmacy Certification - Pharmacy Technician
North Valley Occupational Center
Mission Hills06-2006
National Certification - Pharmacy Technician Certification Board
National Board of Pharmacy
USA06-2006
Bachelor of Science - Health Administration
California State University, Northridge
CASkills
- Project & Program Management
- Pharmacy Benefit & Drug List Strategy
- Workflow optimization
- Data analysis
- Risk mitigation
- Cross-functional Team Leadership
- Executive communication
Timeline
Senior Business Process Analyst PDL Mgmt
OptumRx UHC Employer and Individual Plans
01.2022 - Current
E&I Senior Business Analyst
OptumRx Commercial Formulary Operations
10.2012 - 12.2021
Senior Certified Pharmacy Technician
Walgreens
06.2006 - 10.2012
CA Board of Pharmacy Certification - Pharmacy Technician
North Valley Occupational Center
National Certification - Pharmacy Technician Certification Board
National Board of Pharmacy
Bachelor of Science - Health Administration
California State University, Northridge