Pharmacy Design Consultant

RxBenefits, Inc.

Pharmacy Design Consultant acting as pharmacy benefit expert for client implementations and changes. Overseeing projects, collaborating with stakeholders, and ensuring accurate documentation of benefit design.

Posted 6/12/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSenior💰 $62,400 - $78,000 per yearWebsite

About the role

Key responsibilities & impact

Participate in multiple client projects simultaneously while ensuring all role deliverables are accomplished on time and accurately documented.
Complete a second level review of the data gathering process for new client implementations which includes: meticulous review of incumbent plan documents, claim file analysis, and review of other critical benefit design set-up information.
Serves as the pharmacy benefit expert on the following projects: new client implementations, medical vendor changes, eligibility changes, TPA changes, PBM to PBM transitions, and other complex clients requests.
Actively communicates with and relays benefits design set-up information to internal stakeholders including the Project Lead and Benefit Configuration Specialist.
Ensure the client’s benefit intent and benefit design are aligned, accurately documented and communicated.
Attend and participate in client and vendor calls.
Lead consultative and dynamic conversations with clients and EBCs regarding the benefit set-up and program/product selection.
Proactively review existing project workflows/deliverables and communicate process improvement opportunities.
Serves as a benefit expert and resource to support department and corporate initiatives.
Actively seeks to improve product, program, and benefit design knowledge as well as staying up to date on new products and market conditions.
Track and log defined tasks and deliverables within Clarizen.
Appropriately support the risk management team and the Client Command Center process.
Meet KPI goals as defined by Operations leadership and department.
Other duties as assigned.

Requirements

What you’ll need

3+ years benefit implementation or pharmacy design experience
Employee benefits experience required, pharmacy experience a plus
Exceptional partner in collaboration with others
Proven ability to apply critical thinking practices that 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
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.

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

benefit implementationpharmacy designdata gathering processclaim file analysisbenefit designproject workflowsprocess improvementKPI goalscritical thinkingbenefit set-ups

Soft Skills

collaborationtime managementattention to detailorganizational skillsinterpersonal skillscommunication skillspresentation skillssense of urgencydecision makingadaptability