Pharmacy Benefit Consultant - Employer (1443)
Job Description
Pharmacy Benefit Consultant
For over 20 years PSG 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 your 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.
As a Pharmacy Benefit Consultant, you will serve as the primary/lead consultant on strategic clients with a focus on Health Systems, Hospital clients, Strategic Clients or Employer Groups. You will lead and cultivate multi-level client relationships with executives, human resource personnel, pharmacy department personnel and others which enable PSG to partner with clients to create, communicate and implement pharmacy strategy within the context of the overall health system healthcare strategy. In addition, you will identify business needs and create custom solutions for sophisticated clients which include overall pharmacy benefit strategies. You will also lead vendor (PBM) strategies that will include procurement efforts, contract negotiation and ongoing vendor management, while providing industry expertise and insight related to trends and opportunities.
Responsibilities:Client Management
Working with the PBM, client and PSG resources the candidate will:
- 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
- Develop and implement customized strategic plans based on unique client needs to achieve targeted long- and short-term
- Track and measure vendor contract performance including operational and financial
- Lead and participate in ongoing client meetings including:
- Vendor review meetings
- Independent strategy and performance assessment meetings
- Use analytical skills/tools to identify and present opportunities to clients that will serve to support trend management, cost savings, identify FWA, etc.
- Navigate appropriate internal PSG experts on custom projects and
- Support clients that wish to leverage internal pharmacy resources including improving in-house pharmacy capture rates, development of customized clinical programs (PA, Formulary, etc), 340B program maximization
- Review PBM provided pharmacy program indicators and reports for ongoing opportunities and program performance
- Maintain ongoing reports and documentation related to client relationship and program
- Responsible for renewal of client relationship and creating strategy, scope of services and appropriate fee structure to match client
Program and Business Development
- Assess opportunity for expanding PSG services within existing client
- Leverage client relationship for PSG prospecting efforts by creating developing client
- Participation in conferences and other forums for showcasing program experience and
- Participate in internal workgroups to develop new programs, services, corporate positions and publications based on the continual assessment of client and market
Account Implementation
- Provide oversight, guidance and serve as an advocate for the client to ensure vendor requirements are being met and service levels are adequate throughout vendor
- Identify issues and concerns for appropriate escalation and resolution to ensure successful
RFP Process Management
- 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
Contract Review and Execution
- Lead the review process for new and renewing vendor contracts through final execution to ensure current terms, definitions and compliance with RFP
- Lead the creation and renewal of PSG client agreements to create appropriate scope of services and fee
- Extensive knowledge of PBM and specialty pharmacy environment (4 years minimum experience).
- Strong verbal and written communication skills including presentation skills and client relationship management
- Ability to develop strategies and implement programs for large client Rx benefit programs
- Strong experience with hospitals and health systems
- Familiarity with the Federal 340B pricing program
- Strong clinical and financial analysis skills including: Word, PowerPoint and Excel
- Travel required, 25+%
- Pharmacy background with bachelor’s degree; MBA and/or PharmD/RPh strongly preferred
- Business development experience preferred
WHY JOIN US?Â
- 15th Largest Broker in US
- Voted " Best Place to Work" in the Insurance Industry
- Awesome Benefits:Â 401K matching, Generous Time Off Policy, Flexible Work Options, Medical, Dental, Vision, Pet Insurance, Cancer Insurance, Wellness Programs, Employee Award Programs (Trips!).
The national average salary for this role is $120k - $160k in base pay and exclusive of any bonuses or benefits. The base pay offered will be determined based on your experience, skills, training, certifications and education, while also considering internal equity and market data.
EPIC embraces diversity in all its various forms—whether it be diversity of thought, background, race, religion, gender, skills or experience. We are committed to fostering a work community where every colleague feels welcomed, valued, respected and heard. It is our belief that diversity drives innovation and that creating an environment where every employee feels included and empowered, helps us to deliver the best outcome to our clients. An Equal Opportunity/Affirmative Action Employer.
#LI-Remote
#LI-GB1
Date Posted
07/13/2023
Views
10
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