ROLE: Each associate is responsible for validating members Out-of-Pocket Maximum (OOPM) cost shares based on the audit years provided in the Accumulator Overages Report. The process involves reviewing the members responsibilities according to their plan benefits and ensuring that OOPM limits and any overages are accurate, following the preset criteria established by Centene. If a member has exceeded their OOPM limit, the excess amount will be reimbursed directly through medical claims and phar