Senior Pharmacy Benefit Consultant, Health Plan
About the role
For over 20 years PSG (an EPIC company) has been singularly focused on helping our clients navigate the complex and ever-changing challenges of drug management. Through our leading pharmacy intelligence and technologies, we save our clients billions of dollars every year with an unwavering commitment to serving as an advocate and strategic partner.
Responsibilities
Business Strategy Projects: 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.
Client Management and Consulting Retainers: 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.
Program and Business Development: Assess opportunity for expanding PSG services within existing client relationships. Leverage client relationships for PSG prospecting efforts by creating and developing client references. Participation in conferences and other forums for showcasing program experience and success. Participation in internal workgroups to develop new programs, services, corporate positions, and publications based on the continual assessment of client and market needs.
Procurement and RFP Process Management: 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). Participation in non-client RFP processes via scoring and client meeting assistance.
Contract Negotiation, Review and Execution: 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.
Qualifications (Minimum Requirements)
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; MBA or PharmD/RPh strongly preferred.
Why EPIC
EPIC has over 60 offices and 3,000 employees nationwide – and we’re growing! It’s a great time to join the team and be a part of this growth. We offer:
Generous Paid Time off
Managed PTO for salaried/exempt employees (personal time off without accruals or caps); 22 PTO days starting out for hourly/non-exempt employees; 12 company-observed paid holidays; 4 early close days
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. It takes both production and service to be EPIC!
EPIC Gives Back – Some of our charitable efforts include Donation Connection, Employee Assistance Fund, and People First Foundation
Compensation
The national average salary for this role is $180,000.00 - $200,000.00 in base pay and exclusive of any bonuses or benefits. The base salary offered will be determined based on your experience, skills, training, certifications, and education, while also considering internal equity and market data.
Why PSG
PSG (an EPIC company) is dedicated to helping clients navigate the complexities of drug management through leading pharmacy intelligence and technologies. With an unwavering commitment to advocacy and partnership, PSG saves clients billions annually and collaborates with clients to develop innovative solutions that drive strategic insights, financial, and clinical value.