Cristina De Leon

Cristina De Leon

Cristina De Leon

Senior Vice President and Benefit Audit Solutions Practice Leader

Cristina is a Senior Vice President and Benefit Audit Solutions (BAS) Practice Leader in Segal’s Chicago office. She has over 20 years of experience in the retail pharmacy, pharmacy benefit management (PBM) and health benefits consulting industries. In addition to leading the BAS practice, Cristina is a member of Segal’s National Rx Consulting Group.

Prior to joining Segal, Cristina was a Pharmacy Audit Specialist in the Pharmacy Benefit Operations department of a provider-owned PBM. She served the PBM’s largest client, a national Managed Medicaid/Medicare provider, as well as other commercial clients in Puerto Rico. Her role consisted of analyzing network pharmacies’ claims, developing algorithms, initiating financial charge-backs, recommending terminations and developing a concentrated audit program.

Cristina worked with internal departments, vendors, clients, pharmacy providers, prescribers, CMS MEDICs and law enforcement to maintain an optimal pharmacy network. She has also worked for a leading, national retail pharmacy chain in the Prescription Benefits Administration department in the areas of Managed Healthcare Contracting and Pharmacy Audit Compliance.

Cristina attended the College of Liberal Arts and Sciences at DePaul University. 

 

Contact Cristina

The information you provide will not be shared with anyone outside Segal.

Cristina De Leon

Cristina De Leon

Cristina De Leon

Senior Vice President and Benefit Audit Solutions Practice Leader

Cristina is a Senior Vice President and Benefit Audit Solutions (BAS) Practice Leader in Segal’s Chicago office. She has over 20 years of experience in the retail pharmacy, pharmacy benefit management (PBM) and health benefits consulting industries. In addition to leading the BAS practice, Cristina is a member of Segal’s National Rx Consulting Group.

Prior to joining Segal, Cristina was a Pharmacy Audit Specialist in the Pharmacy Benefit Operations department of a provider-owned PBM. She served the PBM’s largest client, a national Managed Medicaid/Medicare provider, as well as other commercial clients in Puerto Rico. Her role consisted of analyzing network pharmacies’ claims, developing algorithms, initiating financial charge-backs, recommending terminations and developing a concentrated audit program.

Cristina worked with internal departments, vendors, clients, pharmacy providers, prescribers, CMS MEDICs and law enforcement to maintain an optimal pharmacy network. She has also worked for a leading, national retail pharmacy chain in the Prescription Benefits Administration department in the areas of Managed Healthcare Contracting and Pharmacy Audit Compliance.

Cristina attended the College of Liberal Arts and Sciences at DePaul University. 

 

Contact Cristina

The information you provide will not be shared with anyone outside Segal.

Cristina De Leon

Senior Vice President and Benefit Audit Solutions Practice Leader

Cristina De Leon

Contact Cristina

The information you provide will not be shared with anyone outside Segal.

Cristina is a Senior Vice President and Benefit Audit Solutions (BAS) Practice Leader in Segal’s Chicago office. She has over 20 years of experience in the retail pharmacy, pharmacy benefit management (PBM) and health benefits consulting industries. In addition to leading the BAS practice, Cristina is a member of Segal’s National Rx Consulting Group.

Prior to joining Segal, Cristina was a Pharmacy Audit Specialist in the Pharmacy Benefit Operations department of a provider-owned PBM. She served the PBM’s largest client, a national Managed Medicaid/Medicare provider, as well as other commercial clients in Puerto Rico. Her role consisted of analyzing network pharmacies’ claims, developing algorithms, initiating financial charge-backs, recommending terminations and developing a concentrated audit program.

Cristina worked with internal departments, vendors, clients, pharmacy providers, prescribers, CMS MEDICs and law enforcement to maintain an optimal pharmacy network. She has also worked for a leading, national retail pharmacy chain in the Prescription Benefits Administration department in the areas of Managed Healthcare Contracting and Pharmacy Audit Compliance.

Cristina attended the College of Liberal Arts and Sciences at DePaul University. 

 

Cristina De Leon

Senior Vice President and Benefit Audit Solutions Practice Leader

Cristina De Leon

Contact Cristina

The information you provide will not be shared with anyone outside Segal.

Cristina is a Senior Vice President and Benefit Audit Solutions (BAS) Practice Leader in Segal’s Chicago office. She has over 20 years of experience in the retail pharmacy, pharmacy benefit management (PBM) and health benefits consulting industries. In addition to leading the BAS practice, Cristina is a member of Segal’s National Rx Consulting Group.

Prior to joining Segal, Cristina was a Pharmacy Audit Specialist in the Pharmacy Benefit Operations department of a provider-owned PBM. She served the PBM’s largest client, a national Managed Medicaid/Medicare provider, as well as other commercial clients in Puerto Rico. Her role consisted of analyzing network pharmacies’ claims, developing algorithms, initiating financial charge-backs, recommending terminations and developing a concentrated audit program.

Cristina worked with internal departments, vendors, clients, pharmacy providers, prescribers, CMS MEDICs and law enforcement to maintain an optimal pharmacy network. She has also worked for a leading, national retail pharmacy chain in the Prescription Benefits Administration department in the areas of Managed Healthcare Contracting and Pharmacy Audit Compliance.

Cristina attended the College of Liberal Arts and Sciences at DePaul University. 

 

Cristina De Leon

Cristina De Leon

Senior Vice President and Benefit Audit Solutions Practice Leader

Contact Cristina

The information you provide will not be shared with anyone outside Segal.

Cristina is a Senior Vice President and Benefit Audit Solutions (BAS) Practice Leader in Segal’s Chicago office. She has over 20 years of experience in the retail pharmacy, pharmacy benefit management (PBM) and health benefits consulting industries. In addition to leading the BAS practice, Cristina is a member of Segal’s National Rx Consulting Group.

Prior to joining Segal, Cristina was a Pharmacy Audit Specialist in the Pharmacy Benefit Operations department of a provider-owned PBM. She served the PBM’s largest client, a national Managed Medicaid/Medicare provider, as well as other commercial clients in Puerto Rico. Her role consisted of analyzing network pharmacies’ claims, developing algorithms, initiating financial charge-backs, recommending terminations and developing a concentrated audit program.

Cristina worked with internal departments, vendors, clients, pharmacy providers, prescribers, CMS MEDICs and law enforcement to maintain an optimal pharmacy network. She has also worked for a leading, national retail pharmacy chain in the Prescription Benefits Administration department in the areas of Managed Healthcare Contracting and Pharmacy Audit Compliance.

Cristina attended the College of Liberal Arts and Sciences at DePaul University.