Senior Benefits Consultant - Pharmacy

About the role

This job is responsible for the design, delivery, financial management, and administration of health, welfare, work/life, pharmacy and retirement programs. Key responsibilities include independently managing and evaluating program cost, effectiveness, and usage, and recommending improvements.

Responsibilities

• Benefits Design point of contact for designing, managing and implementing pharmacy benefits
• Manage and oversee all third parties and strategies to ensure program design and business objectives are being met.
• Responsible for assessing ongoing regulatory changes and how they impact pharmacy benefit offerings.
• Partner with multiple suppliers and internal partners (Benefits Service Delivery, Life Event Services, Legal, Communications, Finance, Sourcing, HR Reporting teams, HR leaders, etc.) to ensure pharmacy programs are delivered flawlessly to our teammates.
• Partner with multiple third-party service providers, platform administrator, Health & Insurance carriers as well as internal partners (Benefits Service Delivery, Life Event Services, Legal, Communications, Finance, Sourcing, HR Reporting teams, HR leaders, etc.) to ensure processes and services are delivered flawlessly to our teammates.
• Evaluate market trends and emerging products and approaches to drive pharmacy benefits.
• Ability to understand, translate and apply data analysis and market trends in the development of business cases to solve existing or emerging opportunities.
• Develop business cases to present to key stakeholders.
• Partner across multiple teams to ensure impacts, compliance requirements, business needs, and employee experience are identified in all program design recommendations.
• Ensure required regulations, and compliance activities being executed.
• Participation with vendor audits, claims reviews, annual meetings, development of business requirement documents and employee engagement approaches.
• Ability to understand, translate and apply changing legal and regulatory environment impacting programs.
• Drive change initiatives and implementations.

Requirements

• Minimum 7-10 years’ of Health Care Benefits and related Pharmacy experience either through Consulting, Brokerage, Insurance companies or employer. Ideally 3+ years of delivery experience of pharmacy benefits for a large organization.
• Experience with pharmacy market checks, annual audits, and program optimization
• Depth and knowledge of pharmacy benefit industry, market shifts and complex dynamics
• Excellent oral & written communication skills; ability to articulate complex concepts to a non-specialist audience.
• Facilitation, client service orientation, leadership, influence, teamwork, and collaboration across multiple different partners, both internal and external.
• Strong vendor relationship experience.
• Strong data analysis, used to help with industry benchmarking and build/develop business cases.
• Strong oral & written communication skills; ability to articulate complex concepts to a non-specialist audience.
• Highly organized with ability to drive many competing priorities and multiple tasks concurrently.
• Strong task management skills, including the ability to prioritize work and meet deadlines.
• A team player who thinks and acts cross-functions, proactive and focused on continuous improvement.
• A problem solver with a “can do” attitude, consultative approach, and client service mentality.
• Acts with a sense of urgency and drives issues through to completion.
• Demonstrates a sense of commitment to work and willingly assumes responsibility for accomplishing objectives.
• Individual should be self-starter and highly proficient with Microsoft Office products especially skilled in PowerPoint and excel.
• Demonstrated ability to work/navigate in a complex, matrixed work environment.

Qualifications

• PharmD.
• Experience working with and managing outsourced services.
• Experience ensuring communication and engagement strategies are designed and executed to drive member engagement.

Skills

• Analytical Thinking
• Benefits Plan Development
• Data and Trend Analysis
• Prioritization
• Reporting
• Attention to Detail
• Benchmarking
• Emotional Intelligence
• Innovative Thinking
• Strategic Thinking
• Business Case Analysis
• Collaboration
• Influence
• Process Design
• Risk Management