Consultant, Pharmacy Network
About The Position
Due to growth, we are adding a Consultant, Pharmacy Network to our team! The Consultant, Pharmacy Network will be responsible for managing and improving client support for pharmacy benefit management services and ensuring client satisfaction. The position will lead strategy and overall service performance for specified PBM clients. The Consultant is responsible for the co-development of long-term strategy and customer relationship management. The role will partner with and work cross functionally with multiple organizational levels and provide clear communication with internal and external partners to lead team deliverables. The Consultant, Pharmacy Network will be responsible for supporting Provider Services team in client retention, achieving corporate strategic goals relative to client base and overall customer satisfaction, including removing obstacles/solving customer issues in timely manner. The role will will also manage Navitus client inquiries regarding contractual issues, including internal and external contacts regarding pharmacy participation, pharmacy services, and network discounts.
Requirements
- Bachelor’s degree in healthcare administration, business management, pharmacy, or related field, or equivalent work experience, required.
- 5+ years of business experience in PBM implementation, client management, or project management required.
- Strong understanding of PBM processes, pharmacy benefits, and healthcare industry regulations required.
- The ability to consistently interact cooperatively and respectfully with other employees.
Nice To Haves
- Pharmacy technician certification preferred.
- 3 years of experience in business, finance or economics preferred.
- Participate in, adhere to, and support compliance program objectives.
Responsibilities
- Responsible for managing strategic client relationships by building and maintaining strong relationships with assigned clients, understanding client needs and expectations, acting as a point of contact for client inquiries and issues, all related to pharmacy network management including retail and specialty lines of business.
- Overseeing and improving client support processes and procedures, ensuring timely and accurate responses to client inquiries regarding provider services.
- Tracking key performance related to client pharmacy network management support and analyzing data to identify areas for improvement.
- Lead Navitus client inquiries and act as Subject Matter Expert regarding client deliverables and open items.
- Monitors standards and metrics to drive performance and exceed client service quality expectations.
- Interpret data, including claims utilization from Navitus’ data warehouse and from NCRx, formulary files, pharmacy network databases, NCPDP pharmacy files, Medispan files, and other databases required to facilitate and ensure the accurate delivery of information related to client and pharmacy partner reporting requirements.
- Maintain and manage projects to improve existing processes, delivering enhanced quality and efficiency.
- Serves in a consultative role to support clients and other Navitus departments in new client implementations and participate in client-facing meetings.
- Other duties as assigned.
Benefits
- Top of the industry benefits for Health, Dental, and Vision insurance
- 20 days paid time off
- 4 weeks paid parental leave
- 9 paid holidays
- 401K company match of up to 5%
- Adoption Assistance Program
- Flexible Spending Account
- Educational Assistance Plan and Professional Membership assistance
- Referral Bonus Program – up to $750!
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
