RxBenefits, Inc.

Director

• Monitor and interpret trends in the pharmacy benefits landscape, proactively addressing emerging challenges and opportunities through strategic communications.
• Act as a key advisor and strategist in guiding stakeholders through industry disruptions, ensuring clarity and confidence in the relevance of RxBenefits’ solutions and approach.
• Develop and execute comprehensive communication strategies that address legislative reforms, PBM industry evolution, compliance updates, and crisis communications, ensuring alignment with RxBenefits' business objectives and stakeholder needs.
• Craft and deliver impactful messaging tailored to benefit advisors and client contacts, fostering understanding and trust across diverse audiences.
• Lead efforts in marketing and internal communications to produce impactful tools and resources that enable our business development, account management, and operations teams to achieve excellence in enterprise-wide execution.

Director, Industry Comms – Pharmacy Benefits

Consultant

• Reports directly to and works under the supervision of the Manager, Clinical Services
• Serve as a partner to our Business Development, Account Management and Operations departments providing clinical independence to support client growth and retention
• Present at consultant client meetings, events, and virtual webinars on industry updates and new RxBenefits developments
• Establish productive, professional relationships with the RxBenefits team to support their prospect and existing client base with clinical expertise aligned with their goals and objectives
• Act as the Clinical Subject Matter Expert on implementation calls with ability to guide decisions related to drug coverage and utilization management standards using data driven approaches
• Perform dynamic data analyses using provided Business Intelligence tools
• Peer review colleague analytical output for consistency of message and quality
• Perform chart reviews and supply data and evidence-based recommendations to providers and clients related to drug coverage of complex medication regimens
• Facilitate complete delivery of Clinical Value Proposition and other Clinical Product related items
• Mentor new consultant pharmacist hires, pharmacist residents and student pharmacy interns
• Serve as Key Clinical Consultant Support for National and Regional Business Development and Account Management needs associated with achieving prospect/client goals and objectives
• Participate in various clinical-focused projects as directed
• Support internal training initiatives for Clinical-related materials in conjunction with Clinical Leadership
• Participate as a contributor to Clinical Policy and Procedure Updates in conjunction of Clinical Leadership
• Participate in updates of relevant Clinical Team Client-Facing Materials
• Contribute to team industry discussion, Clinical Confluence site updates, and market research for educational content
• Engage in ongoing efforts to maintain knowledge of the RxBenefits total product offering

Clinical Pharmacist Consultant

Medical Director

• Provides clinical leadership and oversight for RxBenefits' utilization management programs
• Conducts clinical medical necessity reviews of physician or member
• Serves as a peer-to-peer consulting physician as needed
• Coordinates with and audits third-party external review agencies
• Collaborates with Legal and Compliance teams for regulatory adherence
• Acts as the Medical Director of record for multiple states
• Participates in internal audits, compliance reviews, and quality improvement initiatives

Human Resources

• Partner with senior leaders to merge business strategy with people strategies to drive performance and growth
• Act as a trusted advisor, providing thought leadership on organizational effectiveness, team dynamics, and leadership capability
• Build deep understanding of the business to proactively identify talent risks and opportunities
• Advise on organizational design initiatives that optimize structure, scalability, and efficiency
• Assess team effectiveness and recommend changes to improve performance, alignment, and accountability
• Support change management efforts tied to business transformation and growth
• Drive talent planning, succession planning, and leadership development processes
• Partner with leaders to identify, develop, and retain top talent
• Coach leaders on performance management, including differentiating top performers and addressing underperformance
• Provide expert guidance on complex employee relations matters, ensuring consistency and risk mitigation
• Coach leaders through difficult conversations and organizational challenges
• Identify trends and proactively recommend solutions to improve engagement and retention
• Partner with leaders on various compensation matters, reinforcing a pay-for-performance philosophy
• Support workforce planning, including headcount strategy, role design, and cost management
• Use data and analytics to inform talent and compensation decisions that support organization’s compensation program and philosophy
• Champion initiatives that strengthen employee engagement, inclusion, and organizational culture
• Partner with leadership to interpret engagement data and drive targeted action plans
• Foster a high-performance culture focused on accountability, collaboration, and results
• Leverage HR data and analytics to provide actionable insights to leaders
• Identify trends across the organization and influence decisions with a data-driven approach
• Measure effectiveness of HR initiatives and continuously improve outcomes

Director, Industry Comms – Pharmacy Benefits

Clinical Pharmacist Consultant

Medical Director

Human Resources Business Partner