Pharmacy Benefit Consultant, Health Plan

Role Overview

• 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.

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; MBA or PharmD/RPh strongly preferred
• Business development experience preferred

Benefits

• full medical, pharmacy, dental, vision, life and disability insurance
• paid vacation
• sick leave
• 401k match
• 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
• 50/50 Work Culture: EPIC fosters a 50/50 culture between producers and the rest of the business, supporting collaboration, teamwork, and an inclusive work environment. It takes both production and service to be EPIC!
• EPIC Gives Back – Some of our charitable efforts include Donation Connection, Employee Assistance Fund, and People First Foundation
• We’re in the top 10 of property/casualty agencies according to 'Insurance Journal'