Location: Remote • Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, Virginia, West Virginia, Wyoming • 🇺🇸 United States
Serve as the subject matter expert (SME) for pharmacy networks, including retail, specialty, and mail-order.
Participate in regular client meetings, including quarterly business reviews, as the provider network SME.
Act as a strategic advisor to account teams on provider network initiatives aligned with client goals.
Communicate pharmacy network strategies, performance metrics, and optimization opportunities in a clear and consultative manner.
Oversee and improve client support processes and procedures, ensuring timely and accurate responses to client inquiries regarding provider services.
Translate client needs into actionable initiatives within the Provider Services organization.
Contribute to RFPs and client presentations by providing insights from the provider network perspective.
Manage a team including responsibility for hiring, training, and developing client support staff.
Participate in, adhere to and support compliance and diversity, equity, and inclusion program objectives.
Other duties as assigned.
Requirements
Bachelor’s degree in healthcare administration, business management, pharmacy, or related field, or equivalent work experience, required.
5-6 or more years’ business experience in PBM implementation, client management, or project management required.
Strong understanding of PBM processes, pharmacy benefits, and healthcare industry regulations.
3 years of experience in business or finance is preferred.
Management experience, success with leading the development and implementation of a new customer service system.
Participate in, adhere to, and support compliance program objectives.
The ability to consistently interact cooperatively and respectfully with other employees
Benefits
Top of the industry benefits for Health, Dental, and Vision insurance
20 days paid time off
4 weeks paid parental leave
9 paid holidays
401K company match of up to 5% - No vesting requirement
Adoption Assistance Program
Flexible Spending Account
Educational Assistance Plan and Professional Membership assistance
Referral Bonus Program – up to $750!
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
PBM implementationclient managementproject managementpharmacy benefitscompliance program managementcustomer service system developmentperformance metrics analysisRFP contributionteam managementprocess improvement