Pharmacy Benefit Consultant - Remote/Hybrid

Highmark Health • Washington, DC

2d • Hybrid

About The Position

This role operates in a hybrid model (T,W,TH) for employees residing within 50 miles of the corporate office. The Pharmacy Benefit Consultant is a dynamic and results-oriented individual who serves as the client-facing expert. This role drives the growth and retention of Highmark’s self-funded clients while ensuring the seamless delivery of exceptional pharmacy benefit solutions.

Requirements

• 3 years of experience in Healthcare Industry
• 3 years of experience in Pharmacy
• 3 years of experience with communications
• Bachelor’s degree in Clinical field such as Pharmacy, Nursing, Nutrition or a Business related field or relevant experience and/or education as determined by the company in lieu of bachelor's degree.
• 6 years experience in pharmacy or managed health care setting in lieu of Bachelor degree

Nice To Haves

• 5 years of experience with communications
• 3 years of experience in Utilization Review
• 3 years of experience in Account Support
• 1 year of experience in Managed Care Support
• 1 year of experience in Consulting
• Master's degree
• PA clinical licensure/certifications such as RN, RD, Pharmacist

Responsibilities

• Build and cultivate strong relationships with key stakeholders, including clients, brokers, consultants, and internal Highmark colleagues.
• Provide in-depth pharmacy benefit expertise, offering strategic guidance, clinical recommendations, and solutions tailored to individual client needs.
• Play a vital role in acquiring new clients and ensuring the successful implementation of their pharmacy programs.
• Serve as the subject matter expert for all pharmacy programs, products, and benefit recommendations, advocating for Highmark's solutions and services.
• Collaborate with internal teams to develop and execute impactful presentations, sales collateral, and client proposals.
• Leverage data-driven insights to identify trends, optimize pharmacy benefits, and create cost-effective strategies.
• Actively participate in the design and implementation of innovative pharmacy programs, ensuring seamless transitions for new and existing clients.
• Conduct impactful training sessions for both internal and external stakeholders, promoting knowledge sharing and best practices.
• Other duties as assigned or requested.

Benefits

• Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level