Senior Pharmacy Design Consultant

RxBenefits, Inc.

Senior Pharmacy Design Consultant playing a key role in supporting complex client implementations. Utilizing expertise to uphold client benefit intent accurately during new client implementations.

Posted 6/12/2026full-timeRemote • 🇺🇸 United StatesSenior💰 $73,600 - $92,000 per yearWebsite

About the role

Key responsibilities & impact

Engage in multiple complex client projects simultaneously while ensuring all role deliverables are accomplished on time and accurately documented.
Execute a meticulous review of incumbent plan documents, claim file analysis, and review of other critical benefit design set-up information to inform plan specifications and recommendations to clients and brokers, taking into consideration the nuances of RxBenefits programs and those of the partnering PBM.
Operate as the pharmacy benefit expert for new client implementations, TPA changes, PBM to PBM transitions, and end-to-end plan design audits and other projects, as requested by leadership.
Actively communicate with and relays benefits design set-up information to internal stakeholders, including the Project Lead, Account Manager, Business Development Executive, Clinical and Benefit Configuration Specialist.
Accountable for ensuring client’s benefit intent and benefit design are aligned, accurately documented, and communicated to all necessary parties.
Attend and participate in client and vendor calls.
Responsible for consultative and dynamic conversations with complex clients and brokers regarding the benefit set-up and program/product selection.
Serves as a benefit expert and resource to support department and corporate initiatives.
Proficiently know product, program, benefit design, services, and market conditions to make informed decisions and recommendations to clients and brokers.
Maintain updated client-facing project plan.
Resolve escalated issues and conflicts that arise during project execution, ensuring minimal disruption to project timelines.
Proactively review existing project workflows/deliverables and communicate process improvement opportunities to leadership.
Lead complex process improvement initiative projects during non-peak months, highlighting milestones and strategic outcomes and provide readouts.
Promote best practices and actively contribute to the betterment of the team and organization.
Demonstrate a wide degree of creativity and latitude, with minimal oversight.
Act as Implementation expert in finalist meetings with potential brokers and clients.
Act as a SME resource to help Implementation Teams prepare for Intro and PDX calls.
Act as a Change Champion and exude positivity towards change management to foster acceptance amongst the team.

Requirements

What you’ll need

5+ years benefit implementation or pharmacy design experience
Proven success in a client-facing position
Pharmacy Benefit experience required
Proficient in Microsoft Office (Word, Excel, Outlook, Teams)
Experience with project management software desired
Exceptional partner in collaboration with others
Strong analytical and critical thinking skills that when applied, result in unique, client-focused solutions
Process-minded individual who understands the importance of following a consistent process to maximize efficiency & quality
Solid organizational skills including time management, attention to detail, and ability to manage multiple competing priorities effectively in a dynamic environment
Proven experience understanding complex benefit set-ups and providing solid recommendations to assist clients with a transition/renewal
Sense of urgency necessary to meet goals, objectives, and deadlines
Excellent interpersonal and human relations skills; able to work collaboratively with people at all levels of the organization
Excellent written, verbal and presentation skills; able to communicate technical concepts to non-technical personnel
A passion for learning and a willingness for taking on new challenges
Ability to make both routine and difficult decisions in a fast-paced, high-stress environment.

Benefits

Comp & perks

Website LinkedIn All Job Openings 1001 - 5000 employees Founded 1995 ⚕️ Healthcare Insurance 💳 Fintech 🤝 B2B 💰 Private Equity Round on 2020-12 Healthcare Insurance
Fintech
B2B RxBenefits, Inc. is a company that specializes in providing innovative pharmacy benefits solutions to employers and their employees. They focus on optimizing the management of prescription drug plans to reduce costs and improve health outcomes. Through advanced analytics and personalized member support, RxBenefits aims to transform the pharmacy benefits experience for their clients.

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Hard Skills & Tools

benefit implementationpharmacy designproject managementanalytical skillscritical thinkingprocess improvementtime managementattention to detailclient-focused solutionsdecision making

Soft Skills

collaborationorganizational skillsinterpersonal skillscommunication skillspresentation skillscreativityadaptabilityleadershipproblem-solvingchange management