Advocacy. Expertise. Service.
Pharmacy Design Consultant
Location
United States
Posted
6 days ago
Salary
$62.4K - $78K / year
Seniority
Senior
Job Description
Pharmacy Design Consultant
RxBenefits, Inc.
• 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.
Job Requirements
- 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
- Remote first work environment
- Choice of a HDHP or PPO Medical plan, we pay 100% of the premium for the HDHP for you and your eligible family members
- Dental, Vision, Short- and Long-Term Disability, and Group Life Insurance that we also pay 100% of premiums (for your family too on Dental and Vision)
- Additional buy-up options for Short- and Long-Term Disability and Life Insurance
- 401(k) with an employer match up to 3.5% available after 60 days
- Community Service Day to give back and support what you love in your community
- 10 company holidays including MLK Day, Juneteenth, and the day after Thanksgiving plus a floating holiday to use as you like
- Reimbursements for high-speed internet, we’ll send you a computer and monitors to help you do your best work
- Tuition Reimbursement for accredited degree programs
- Paid New Parent Leave that can be used for adoption or birth
- Pet insurance to protect your furbabies
- A robust mental health benefit and EAP service through Spring Health to support you when you need it most
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