Pharmacy Benefit Consultant, Health Plan jobs in United States
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EPIC Insurance Brokers & Consultants · 2 weeks ago

Pharmacy Benefit Consultant, Health Plan

EPIC Insurance Brokers & Consultants is focused on helping clients navigate drug management challenges. The Pharmacy Benefit Consultant will lead projects for health plan clients, focusing on strategy creation, client relationship management, and delivering insights to enhance pharmacy benefits.

ConsultingFinancial ServicesInsuranceProperty InsuranceRetail
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H1B Sponsor Likelynote

Responsibilities

End to end ownership of client specific business strategy projects. Responsibilities include client relationship management, upfront planning and strategy creation, in-depth research and analysis, thorough execution, and delivery to the client
Examples of projects include organizational assessments, PBM or vendor contract reviews, process gap analyses, market and landscape analyses, go-to-market strategies, unique clinical or quality initiatives that improve delivery of healthcare
Identify and maintain appropriate multi-level client relationships and a deep understanding of client business and corporate culture resulting in high client satisfaction and retention rates
Develop and implement customized strategic plans based on unique client needs to achieve targeted long- and short-term goals
Delivery of client-specific insights on industry happenings and leveraging PSG’s best-in-class research to provide data-driven insights and recommendations on an ongoing basis
Identify opportunities to engage internal PSG experts on custom projects and analyses
Responsible for renewal of client relationships and creating strategy, scope of services and appropriate fee structure to match client needs
Assess opportunity for expanding PSG services within existing client relationships
Leverage client relationships for PSG prospecting efforts by creating developing client references
Participation in conferences and other forums for showcasing program experience and success
Participate in internal workgroups to develop new programs, services, corporate positions, and publications based on the continual assessment of client and market needs
Lead the development and management of the procurement, market check and request for proposal (RFP) strategy and process for clients including RFP creation, vendor selection meetings and contract execution (in conjunction with internal RFP coordinator)
Participate in non-client RFP processes via scoring and client meeting assistance
Lead the review process for new and renewing vendor contracts through final execution to ensure current terms, definitions and compliance with RFP requirements
Negotiate market leading business terms and conditions on behalf of PSG clients

Qualification

PBM knowledgePharmacy Benefits experienceFinancial analysisClient relationship managementStrategic planningMicrosoft WordMicrosoft PowerPointMicrosoft ExcelPresentation skillsOrganizational skillsWritten communication

Required

Knowledge of PBM, pharmacy and managed care environments (3-5 years minimum experience)
Ability to develop strategies and implement programs for large client Rx and medical benefit programs
Ability to create client-facing written materials and communications using Microsoft Word and PowerPoint
Impeccable organizational skills and ability to work independently
Strong verbal and written communication skills including presentation skills and client relationship management experience; with the ability to adjust your style to suit different perspectives and seniority levels
Strong financial analysis skills using Microsoft Excel
Pharmacy Benefits or Managed Care work experience with bachelor's degree

Preferred

MBA or PharmD/RPh strongly preferred

Benefits

Generous Paid Time off
Generous leave time options: Paid parental leave, pregnancy disability and bonding leave, and organ donor/bone marrow donor leave
Generous employee referral bonus program of $1,500 per hired referral
Employee recognition programs for demonstrating EPIC’s values plus additional employee recognition awards and programs (and trips!)
Employee Resource Groups: Women’s Coalition, EPIC Veterans Group
Professional growth & development: Mentorship Program, Tuition Reimbursement Program, Leadership Development
Unique benefits such as Pet Insurance, Cancer Insurance, Identity Theft & Fraud Protection Coverage, Legal Planning, Family Planning, and Menopause & Midlife Support
Additional benefits include (but are not limited to): 401(k) matching, medical insurance, dental insurance, vision insurance, and wellness & employee assistance programs
50/50 Work Culture: EPIC fosters a 50/50 culture between producers and the rest of the business, supporting collaboration, teamwork, and an inclusive work environment.
EPIC Gives Back – Some of our charitable efforts include Donation Connection, Employee Assistance Fund, and People First Foundation

Company

EPIC Insurance Brokers & Consultants

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We are a unique and innovative retail risk management and employee benefits insurance brokerage and consulting firm founded in San Francisco, California, in 2007 with offices and leadership across the country.

H1B Sponsorship

EPIC Insurance Brokers & Consultants has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2024 (2)
2023 (3)
2022 (1)
2020 (4)

Funding

Current Stage
Late Stage
Total Funding
unknown
2017-07-27Acquired
2007-01-01Seed

Leadership Team

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Stephen Adkins
COO, Southeast Region
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Beth Barr
SVP & Regional Director, Employee Benefits (Sacramento)
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Company data provided by crunchbase