Kaitlyn Ritza

Director of Operational Strategy & Product Management

About

Kaitlyn Ritza is a drug plan strategist and product manager who utilizes her extensive pharmacy industry experience to fuel operations, pharmacy benefit plan management, and development of products and services. Acting as an advocate for clients, she helps plan sponsors navigate the complex world of pharmacy benefits and private/public coverage for drug claims through the use of data analytics, consulting, and claims audits. By leveraging key data insights, areas of risk and opportunity are identified. Solutions are driven through plan optimizations, and savings are realized by effectively reducing fraud, waste, and, abuse occurrences. Each project and client is unique, Kaitlyn uses a tailored approach of proactively developing and implementing products and services curated to client's specific goals and priorities.

Country

Canada

City

Waterloo

Industry

Insurance

Skill

Team Leadership, Management, Leadership, Microsoft Office, Customer Service, Healthcare, Communication, Product Strategy, Business Planning, Strategic Roadmaps, KPI Reporting, Strategic Thinking, Defining Requirements, Problem Solving, Pharmacy Benefits Management, Product Management, Project Management, Strategic Planning

Experience

Director of Operational Strategy & Product Management

Burke & Company Limited/Orion Audit

2022-4 - Present · 4 yrs 6 mos

Waterloo, Ontario, Canada

Strategize with stakeholders to establish and implement core goals of the organization to pursue new projects and business opportunities. Key contributor leading development for technology-driven projects, designing and implementing analytics-based platform specific to The Group Health Benefits industry. Works closely with developers, team subject matter experts, and clients to curate new ideas, criteria, and specifications for product and service development.

Director of Pharmacy Benefits, Drug Strategy

Burke & Company Limited/ Orion Audit

2021-1 - 2022-4 · 1 yr 4 mos

Waterloo, Ontario, Canada

Acted as a subject matter expert for new and existing prescription drug benefit product and service offerings including, consulting, claims audit, and data analytics development. Effectively managed and communicated fluctuating projects and priorities to the team, providing mentorship, leadership, and guidance.

Prescription Drug Claim Auditor & Technical Consultant

Burke & Company Limited/ Orion Audit

2018-8 - 2021-1 · 2 yrs 6 mos

Waterloo, Ontario, Canada

Conducted high-quality, detailed, Prescription Drug claim audits; evaluating adjudication processes, quantifying risk, and error rates, testing plan eligibility and adherence to insurance contract. Prepared technically written reports, clearly communicating complex information to clients and stakeholders of all levels.