Pharmacy Benefit Consultant, Health Plan

ConsultantConsultantFull TimeRemoteTeam 1,001-5,000H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

19 days ago

Salary

$180K - $200K / year

Bachelor Degree5 yrs expEnglish

Job Description

• Identify and maintain appropriate multi-level client relationships and a deep understanding of client business and corporate culture resulting in high client satisfaction and retention rates. • Develop and implement customized strategic plans based on unique client needs to achieve targeted long- and short-term goals. • Track and measure vendor contract performance including operational and financial measures. • Lead and participate in ongoing client meetings including vendor review meetings and independent strategy and performance assessment meetings. • Identify opportunities to engage internal PSG experts on custom projects and analyses. • Review pharmacy program indicators for ongoing opportunities and program performance measures. • Maintain ongoing reports and documentation related to client relationships and program performance. • Responsible for renewal of client relationship and creating strategy, scope of services and appropriate fee structure to match client needs. • Assess opportunity for expanding PSG services within existing client relationship. • Leverage client relationship for PSG prospecting efforts by creating developing client reference. • Participation in conferences and other forums for showcasing program experience and success. • Participate in internal workgroups to develop new programs, services, corporate positions and publications based on the continual assessment of client and market needs. • Provide oversight, guidance and serve as an advocate for the client to ensure vendor requirements are met and service levels are adequate throughout vendor implementation. • Identify issues and concerns for appropriate escalation and resolution to ensure successful transition. • Lead the development and management of the RFP process for clients including RFP creation, vendor selection meetings and contract execution (in conjunction with internal RFP coordinator). • Participate in non-client RFP process via scoring and client meeting assistance. • Lead the review process for new and renewing vendor contracts through final execution to ensure current terms, definitions and compliance with RFP requirements. • Lead the creation and renewal of PSG client agreements to create appropriate scope of services and fee structure.

Job Requirements

  • Extensive knowledge of PBM, specialty pharmacy or managed care environments (5-7 years minimum experience)
  • Strong verbal and written communication skills including presentation skills and client relationship management experience
  • Ability to develop strategies and implement programs for large client Rx and medical benefit programs
  • Strong clinical and financial analysis skills including Word, PowerPoint and Excel
  • Pharmacy background with bachelor’s degree; MBA or PharmD/RPh strongly preferred
  • Business development experience preferred

Benefits

  • full medical, pharmacy, dental, vision, life and disability insurance
  • paid vacation
  • sick leave
  • 401k match
  • annual bonus potential
  • Generous Paid Time off
  • Managed PTO for salaried/exempt employees (personal time off without accruals or caps); 22 PTO days starting out for hourly/non-exempt employees; 12 company-observed paid holidays; 4 early-close days
  • Generous leave time options: Paid parental leave, pregnancy disability and bonding leave, and organ donor/bone marrow donor leave
  • Generous employee referral bonus program of $1,500 per hired referral
  • Employee recognition programs for demonstrating EPIC’s values plus additional employee recognition awards and programs (and trips!)
  • Employee Resource Groups: Women’s Coalition, EPIC Veterans Group
  • Professional growth & development: Mentorship Program, Tuition Reimbursement Program, Leadership Development
  • Unique benefits such as Pet Insurance, Identity Theft & Fraud Protection Coverage, Legal Planning, Family Planning, and Menopause & Midlife Support
  • Additional benefits include (but are not limited to): 401(k) matching, medical insurance, dental insurance, vision insurance, and wellness & employee assistance programs
  • 50/50 Work Culture: EPIC fosters a 50/50 culture between producers and the rest of the business, supporting collaboration, teamwork, and an inclusive work environment. It takes both production and service to be EPIC!
  • EPIC Gives Back – Some of our charitable efforts include Donation Connection, Employee Assistance Fund, and People First Foundation
  • We’re in the top 10 of property/casualty agencies according to 'Insurance Journal'

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