Sr. Pharmacy Consultant, EB

Holmes Murphy InsuranceMinneapolis, MN
$89,900 - $148,300

About The Position

We are looking to add a Sr. Pharmacy Consultant to join our EB team. Offering a forward-thinking, innovative, and vibrant company culture, along with the opportunity to share your unique potential, there really is no place like Holmes! The Sr. Pharmacy Consultant will assist the Pharmacy Director in executing on business through consulting and analysis services. The Sr. Pharmacy Consultant will leverage expertise, strong contract negotiation skills and industry-leading analytics to consistently produce validated savings to Holmes Murphy clients.

Requirements

  • Advanced level of data understanding and use. Ability to understand and work with financial, accounting, math and health care concepts.
  • Excellent knowledge of Microsoft systems including Excel and PowerPoint.
  • Ability to work with detail, follow directions and maintain a high level of accuracy.
  • Excellent project and time management skills.
  • Multi-tasked oriented and prioritizes work, voluntarily extends hours, and/or solicits additional resources when necessary to ensure timely completion of tasks.
  • Ability and willingness to consistently participate in internal and external educational opportunities to enhance knowledge of current insurance topics or relevant system improvements.
  • Ability and willingness to pursue relevant designations and/or continuing education, as appropriate.
  • Ability to apply common sense understanding to carry out instructions furnished in written, oral or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.
  • Ability to exert up to 10 pounds of force occasionally, and/or negligible amount of force frequently or constantly to lift, carry, push, pull objects.
  • Must be knowledgeable of and comply with HMA's Client Privacy Policy, HIPAA regulations and E&O procedures and policies.
  • Bachelor’s degree or equivalent work experience required.
  • 7+ years’ experience, preferably in a consulting, employee benefits or provider organization.
  • Trust: Build trust through honest and caring actions and consistently do the right thing.
  • Communication: Seek understanding to convey messages and information to others in a caring and constructive manner.
  • Client Focus: Establish meaningful relationships with clients (internal and external) by supporting their unique potential and delivering an impactful experience.
  • Teamwork: Contributes to the success of the organization by effectively influencing others and uplifting their experiences and unique strengths.
  • Business & Technology Knowledge: Invests in the development of technical knowledge, understands business needs to make informed decisions and deliver technology solutions, including effective related processes and procedures.
  • Problem Solving: Ability to efficiently identify problem(s), leverage resources to determine root cause(s) and propose and implement solutions or make improvements.
  • Insurance Knowledge, Principles, & Practice: Invests in the understanding and application of insurance principles, practices, and coverage to consult clients on meeting their strategic needs, including risk transfer, financial elements, relevant parties, and business flows and transactions
  • Analytical Skills: Ability to identify an opportunity and/or root cause, apply logical reasoning to analyze the facts, and develop and execute an effective outcome.
  • Client Management: Actively fosters client relationships by seeking to understand their business and needs, prioritizing deliverables, managing status, and proactively delivering unique and impactful solutions.

Responsibilities

  • Trains clients and employees on pharmacy trends, cost containment and clinical strategies.
  • Collaborates with Clinical Strategies Team in the development of client clinical analysis and tools.
  • Monitors pharmacy and medical utilization across book of business.
  • Presents pharmacy strategy in sales finalist meetings for new business and retention of key clients.
  • Collaborates with clients on cost effective/efficient plan designs and clinical solutions.
  • Serves as expert for internal teams on pharmacy and PBM questions.
  • Conducts industry benchmarks, contract reviews and assists in request for proposals.
  • Assists in the oversight and management of preferred PBM partnerships.
  • Assists in the ongoing evaluation of preferred PBM partnerships.
  • Uses data to forecast and create avoidance solutions. Analyzes data to enable visibility and transparency into pharmacy spend and trend drivers; Presents results to clients.
  • Assists in development of new reporting.
  • Provides Pharmacy consulting to clients with respect to their employee benefit health and welfare plans; Responsible for presenting clinical data to clients.
  • Manages and implements pharmacy benefit managers (PBM) relationships.
  • Build vendor partner relationships and manage vendor issues.
  • Performs special projects and other duties as requested.

Benefits

  • health
  • dental
  • vision
  • Paid Parental Leave and supportive New Parent Benefits
  • Company paid continuing Education & Tuition Reimbursement
  • 401k Profit Sharing
  • Generous time off practices in addition to paid holidays
  • Supportive of community efforts with paid Volunteer time off and employee matching gifts to charities that are important to you
  • Inclusion & Belonging Programs
  • Consistent merit increase and promotion opportunities
  • Discretionary bonus opportunity
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