You are not hiring a vendor who needs the formulary explained to them.
Thirteen years inside regulated operations — seven of them within a pharmacy benefit manager, reporting directly to the chief executive and chief financial officer, and three more introducing AI-driven risk and quality-assurance tooling inside a supervised bank, where the control framework is not optional and the regulator is already watching. Earlier work across healthcare systems engineering and global manufacturing supplies the measurement discipline behind every engagement.
So discovery opens with informed questions rather than an orientation, and the governance model you get has already held up under audit. The through-line is not the tooling — it is knowing what the work genuinely costs, who is accountable for signing it off, and what an auditor will ask about it six months later.