Lead Consultant - Pharmacy

Your Responsibilities

• Manage complex, large accounts and assist with account team
• Consult on plan design, pricing, benchmarking, plan renewal, vendor analysis and management
• Act as an expert within the Pharmacy practice and collaborate with internal SMEs on complex strategies
• Support generation of new business by collaborating with Producers in prospect meetings and leading the RFP process
• Lead negotiations with vendor partners and manage plan terms and changes
• Identify and address client service issues; develop and implement processes and policies to improve client service
• Develop and lead processes including communications strategy, collateral materials, vendor implementation, and conduct open enrollment meetings
• Draft and deliver client presentations and communications specific to each client’s benefit plans
• Develop and produce RFPs by coordinating analytic outputs, vendor replies, and client feedback
• Execute client renewals by building relationships with key client stakeholders and asking effective probing questions
• Attend on-site client meetings and/or lunch and evening events
• Build relationships with PBMs, specialty pharmacies, and other pharmacy vendors
• Attend internal meetings/educational programs

Qualifications

• Minimum of Bachelor’s Degree in business related field
• Minimum 10 years of experience in the industry, specifically experience in PBMs or health plans
• A complete working knowledge of pharmacy benefits in multiple product lines (i.e. Medicare, Medicaid, commercial Health Plan, employer)
• Spearhead client relationships by delivering excellent customer service skills
• Excellent organization, communication and negotiation skills
• A strong working knowledge of welfare benefits in multiple product lines (i.e. medical, dental, life, AD&D, disability) and a basic understanding of risk and insurance
• Excellent computer skills, including word processing and spreadsheet expertise
• Complete working knowledge of differing financial arrangements and products available to clients
• Must be knowledgeable on compliance requirements and federal/state legislation
• Proven critical thinking and problem-solving skills
• Available for travel and willing to accept responsibility for client/vendor entertainment