Strategic Pharmacy Consultant
NFP, an Aon company
full-time
Posted on:
Location Type: Hybrid
Location: Chesterfield • Montana • United States
Visit company websiteExplore more
Salary
💰 $111,000 - $140,000 per year
About the role
- Develop and maintain effective working relationships in a strategic liaison role between clients and internal and external partners, such PBMs, brokers, and other account staff
- Communicate with external clients and brokers with clinical insights and clinical program recommendations
- Responsible for understanding each assigned client’s business model and organizational structure and keeping in the loop on client news and changes
- Proficiently know the VPS and PBM marketplace, including carrier contacts and services, as well as carrier underwriting requirements
- Keep account team and Vice President fully informed of all important activities on client accounts
- Present and explain quotes and contracts, benefits and rates to clients; research and answer questions presented by the client regarding quotes and contracts
- Review of contracts, claims processing, and audit benefit designs, financial reports, etc., to ensure their accuracy and high quality
- Prepare and obtain client employee materials and present employee benefits via webinars, benefit fairs, face-to-face enrollment meetings and enroll employees in the appropriate services in a timely manner
- Represent company as a clinical pharmacy benefit subject matter expert at conferences which may include public speaking events
- Assist in the communication of employee benefits in client enrollment meetings and webinars with the appropriate clients and PBM companies
- Liaise between client, brokers, and PBM companies to independently resolve all service problems
- Specifically, assist the client in resolving billing, claim, eligibility, COBRA, and customer service problems
- Serve as liaison to VPS’ PBM partners to resolve problematic clinical issues
- With input from external partners, independently manage client benefit implementations, including creation and distribution of booklets, enrollment kits, enrollment forms, letters and checklists that are that are on-brand with VPS and meet company standards
- Accountable for accurate and timely preparation of work orders, as well as overall high-quality implementation, reporting and auditing on all assigned accounts
- Make regular service/relationship calls to clients; establish and promote goodwill with customer
- Review client history and follow up with client on a regular basis
- Host clients in the VPS and/or carrier facilities, as needed
- Prepare reports deemed necessary by the Vice President and/or broker
- Keep all information on accounts accurate and up to date in the Zoho CRM software or any other client management software that is introduced in the future
- Communicate billing procedures to clients; monitor billing and payments, and ensure that proper billing procedures are followed
- Meet or exceed departmental goals established by the VP
- Keep industry skills and knowledge current by participating in seminars and classes for continuing education
- Assist with keeping department materials, contacts, intranet, etc. up to date
- Assist with the development of job aids, training materials, etc.
- Present a positive image of self and of VPS, in and out of the office, to fellow employees, clients, providers, and the community
- Conduct special projects at the request of the Vice President
- Perform related and/or other duties as assigned.
Requirements
- Licensed pharmacist in any state
- Preferably a PharmD
- Prefer 3+ years’ experience in clinical consulting and analysis of pharmaceutical products and clinical programs
- Preferably with a PBM or Health System
- Thorough knowledge of the Employee Benefits industry, and PBM specifically
- Advanced knowledge in pharmaceutical clinical review practices
- Excellent research skills
- Ability to read, analyze and interpret industry policies and contract documents, as well as proposals and other documentation and correspondence
- Ability to respond efficiently and accurately to common inquiries or complaints from customers or carrier
- Ability to effectively present information to insured clients and their respective carriers
- Ability to create effective clinical programs for clients
- Excellent oral and written communication skills and command of the English language
- Ability to apply basic mathematical concepts such as percentages, adding, subtracting, multiplying and division to required tasks
- High degree of critical thinking, organizational and decision making skills
- Ability to define problems, collect and analyze data, establish facts, and draw valid conclusions
- High degree of initiative
- High degree attention to detail
- Ability to function independently with minimal supervision
- Ability to prioritize multiple projects and meet objectives and deadlines established by supervisor and clients, often with short turnaround times
- Ability to maintain positive and beneficial relationships with department staff, numerous internal departments, external customers, agents and subscribers
- Proficient in MS Excel, Word, Outlook, and PowerPoint
- Professional telephone skills and e-mail etiquette
- Ability to comply with company confidentiality requirements as well as with HIPAA and other applicable government regulations.
Benefits
- competitive salary
- PTO & paid holidays
- 401(k) with match
- exclusive discount programs
- health & wellness programs
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
clinical consultingpharmaceutical analysisclinical program developmentpharmaceutical clinical reviewcontract analysisdata analysismathematical conceptsclaims processingbenefit design auditingbilling procedures
Soft Skills
communication skillsresearch skillscritical thinkingorganizational skillsdecision makinginitiativeattention to detailindependencerelationship managementpresentation skills
Certifications
Licensed pharmacistPharmD