Pharmacy Benefit Consultant, Health Plan

EPIC Brokers

6d•Remote

About The Position

For over 20 years PSG (an EPIC owned company) has been singularly focused on helping our clients navigate the complex and ever-changing challenges of drug management. Through our leading pharmacy intelligence and technologies, we save our clients billions of dollars every year with an unwavering commitment to serving as the plan’s advocate and strategic partner. Our mission is to relentlessly advocate for our clients as we partner together to develop innovative drug management solutions that deliver exceptional strategic insights, financial and clinical value. The Pharmacy Benefit Consultant - Health Plans will serve as primary and lead consultant on strategic clients’ projects with a focus on national and regional health plans. Lead and cultivate multi-level client relationships with senior executives, pharmacy department leadership and personnel, sales and product leads, clinical management and others which enable PSG to partner with clients to create, communicate and implement pharmacy strategy within the context of the overall healthcare strategy. Identify business needs and create custom solutions for sophisticated clients which include overall pharmacy benefit and medical management initiatives to address the overall goal of healthcare affordability. Lead vendor (PBM) strategies that will include procurement efforts, contract negotiation and ongoing vendor management. Provide industry expertise and insight related to cost and trend management opportunities.

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

Nice To Haves

MBA or PharmD/RPh strongly preferred
Business development experience preferred

Responsibilities

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.

Benefits

Benefits include full medical, pharmacy, dental, vision, life and disability insurance, paid vacation, sick leave, 401k match and 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