Pharmacy Benefit Financial Associate

NFP•Chesterfield, MO

14h•$57,000 - $75,000

About The Position

The Pharmacy Benefit Financial Associate (PBFA) position serves an essential role on a critical team within VPS. The PBFA acts as the liaison between sales, consulting, brokers, prospects, and other key stakeholders. Involved in stakeholder meetings and assists in the management of the RFP process and every phase of proposal development, including research of legal regulations, negotiation of edits to terms, and preparation of final documents. The PBFA helps coordinate VPS meetings, and assists in representing the clients’ or prospects’ interests with vendors, third party providers, and internal and external partners. The PBFA is responsible for maintaining the timelines and many deliverables associated with the RFP and contract process, and for establishing best practices related to document and resource preservation.

Requirements

Bachelor’s degree required.
Prefer minimum of 2 years’ experience in PBM or related industry.
Knowledge of the Employee Benefits industry, and PBM specifically
Ability to interpret industry policies and contract documents, proposals, and other documentation
Ability to respond efficiently and accurately to common inquiries or complaints from customers or carrier
Ability to effectively present information to key stakeholders
Excellent oral and written communication skills and command of the English language
Ability to apply basic mathematical concepts such as percentages, adding, subtracting, multiplying and division to required tasks
High degree of critical thinking, organizational and decision-making skills
High degree of initiative
High degree of attention to detail
Ability to function independently with minimal supervision
Ability to prioritize multiple projects and meet objectives and deadlines established by supervisor and clients, often with short turnaround times
Ability to maintain positive and beneficial relationships with department staff, numerous internal departments, external customers, agents, and subscribers
Proficiency in MS Teams, Excel, Word, Outlook, and PowerPoint
Ability to comply with company confidentiality requirements as well as with HIPAA and other applicable government regulations

Responsibilities

Develop and maintain effective working relationships in a liaison role between internal and external stakeholders.
Communicate “Our Value Added Service”.
Knowledgeable on the VPS and PBM marketplace, including carrier contacts and services, as well as carrier underwriting requirements.
Keep leadership fully informed of all important activities during the RFP process.
Assist in communications between client, broker, PBM companies and NFP legal team in order to resolve problems specific to individual client requirements.
Accountable for accurate and timely preparation of RFP workbooks, as well as overall high-quality communication, execution, and preservation of all documents.
Responsible for assisting on strategic initiatives and providing analytical support to the sales and consulting teams
Review prescription drug usage patterns, and demographic information to ensure accuracy in financial and clinical outcomes.
Support team in the presentation of outcomes, processes, and RFP criteria to internal and external stakeholder.
Support the development of pricing strategies and contract negotiations with existing pharmacy benefit partners and third-party vendors.
Ensure adherence to regulatory requirements and PBM policies related to drug pricing and coverage.
Keep all information on prospects accurate and up to date in the Zoho CRM, and Monday.com software, or any other software that is introduced in the future.
Present a positive image of self and of VPS / NFP, in and out of the office.
Help with research and answer questions presented by the client regarding quotes, contracts, benefits, and rates.
Collaborate with Project Management on the execution of legal documents required for the RFP process and their appropriate dissemination i.e., BAA, NDA, LOE, PHI releases, etc.