Job Details
Senior Pharmacy Design Consultant
The Senior Pharmacy Design Consultant is the ultimate pharmacy benefit expert. They play a key role in supporting complex new client implementations. They will use their expertise to ensure the client's benefit intent is consistently and accurately upheld with every new client implementation, assuming complete responsibility of the accuracy of the plan specifications matching client intent. This role is a blend of behind-the-scenes work as well as client-facing responsibilities. The Senior Pharmacy Design Consultant will attend calls to thoroughly consult on benefit design, addressing client questions and determining final design requirements. This individual owns the consultative conversations with high profile clients and brokers. They provide a thorough description of benefit set up, product options and strategic recommendations. They also understand the benefit design needs of our clients and program/product requirements from our partnering PBM (Pharmacy Benefits Manager).
_Essential Job Responsibilities Include:_
+ 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.
_Required Skills / Experience:_
+ 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.
_Preferred Skills/Experience:_
+ Bachelor's degree preferred.
+ Experience with project management software desired.
_Based on relevant market data and other factors, the anticipated hiring range for this role is $73_ _,600 to $92_ _,000 annually. Final compensation rates will be determined based on various factors, including but not limited to experience, skills, knowledge, and internal equity considerations. This role is also short-term incentive eligible. Incentive amounts will vary by individual and business goals._
_We are committed to fair and equitable compensation practices. The final salary offered to the selected candidate may vary from the posted range due to individual qualifications. Our goal is to ensure that all teammates are compensated fairly and competitively based on their contributions to our organization._
_RxBenefits is also committed to providing best in class benefits to our teammates. We offer a robust total rewards package that includes:_
+ _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_
RxBenefits provides equal opportunities for everyone who works for us and everyone who applies to join our team, without regard to sex or gender, gender identity, gender expression, age, race, religious creed, color, national origin, ancestry, pregnancy, physical or mental disability, medical condition, genetic information, marital status, sexual orientation, any service, past, present, or future, in the uniformed services of the United States (military or veteran status), or any other consideration protected by federal, state, or local law.
_Essential Job Responsibilities Include:_
+ 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.
_Required Skills / Experience:_
+ 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.
_Preferred Skills/Experience:_
+ Bachelor's degree preferred.
+ Experience with project management software desired.
_Based on relevant market data and other factors, the anticipated hiring range for this role is $73_ _,600 to $92_ _,000 annually. Final compensation rates will be determined based on various factors, including but not limited to experience, skills, knowledge, and internal equity considerations. This role is also short-term incentive eligible. Incentive amounts will vary by individual and business goals._
_We are committed to fair and equitable compensation practices. The final salary offered to the selected candidate may vary from the posted range due to individual qualifications. Our goal is to ensure that all teammates are compensated fairly and competitively based on their contributions to our organization._
_RxBenefits is also committed to providing best in class benefits to our teammates. We offer a robust total rewards package that includes:_
+ _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_
RxBenefits provides equal opportunities for everyone who works for us and everyone who applies to join our team, without regard to sex or gender, gender identity, gender expression, age, race, religious creed, color, national origin, ancestry, pregnancy, physical or mental disability, medical condition, genetic information, marital status, sexual orientation, any service, past, present, or future, in the uniformed services of the United States (military or veteran status), or any other consideration protected by federal, state, or local law.
Job #NLX293006744