Client Associate - Pharmacy Services
Position Summary
The Client Associate – Pharmacy Services serves as a strategic support to internal and external clients with a focus on stop-loss risk mitigation and pharmacy cost containment. This role is responsible for supporting the evaluation of pharmacy claims trends, specialty drug exposure, PBM performance, and emerging cost drivers. The position works closely with clients, PBMs, stop-loss carriers, and vendor partners to support pharmacy risk management initiatives and optimize pharmacy benefit programs.
Key Responsibilities
- Serve as a support resource for pharmacy risk management and PBM account support.
- Assist with client pharmacy benefit initiatives with an emphasis on reducing stop-loss exposure and controlling specialty drug spend.
- Analyze pharmacy claims, utilization patterns, high-cost claimants, gene therapies, GLP-1 utilization, and specialty drug trends.
- Participate in pharmacy risk assessments and develop recommendations to mitigate financial risks.
- Monitor PBM performance, contract guarantees, rebate arrangements, and cost-containment programs.
- Prepare executive reports, stewardship reviews, risk assessments, and client presentations.
- Collaborate with internal departments to support strategic pharmacy initiatives.
- Monitor emerging therapies, pipeline drugs, and market trends that may impact stop-loss performance and employer plan costs.
Qualifications
- Bachelor's degree in Healthcare Administration, Business, Finance, Pharmacy, or a related field.
- 3+ years of experience in PBM account management, pharmacy consulting, stop-loss, employee benefits.
- Strong understanding of specialty pharmacy, formulary management, manufacturer rebates, and PBM operations.
- Experience evaluating pharmacy claims data, financial reporting, and pharmacy risk trends.
- Knowledge of stop-loss principles and high-cost claimant management.
- Strong client-service, relationship management, and project management skills.
- Advanced Excel, reporting, and presentation skills.
- Excellent written and verbal communication abilities.
Benefits
Target Salary Range: $62,000.00 - $70,000.00 annually.
Full-time roles are eligible for bonuses and benefits. For additional information on Ryan Specialty Total Rewards, visit our website here.
We provide individuals with disabilities reasonable accommodations to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment in accordance with applicable law. Please contact us to request an accommodation at HR@Ryansg.com.
This job description does not constitute an exhaustive list of responsibilities, duties, or required qualifications. Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time.