EPIC Insurance Brokers & Consultants

Pharmacy Benefit Consultant, Health Plan

EPIC Insurance Brokers & Consultants

full-time

Posted on:

Location Type: Remote

Location: United States

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Salary

💰 $180,000 - $200,000 per year

About the role

  • 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'
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
strategic planningvendor contract performance measurementclinical analysisfinancial analysisRFP process managementprogram performance assessmentclient relationship managementcustom project developmentprogram implementationbusiness development
Soft Skills
communication skillspresentation skillsclient advocacyproblem-solvingleadershiporganizational skillsinterpersonal skillscollaborationnegotiationstrategic thinking
Certifications
PharmDRPhMBA