[Hiring] Senior Pharmacy Benefit Consultant @Pharmaceutical Strategies Group LLC

Role Description

As a Senior Pharmacy Benefit Consultant, you will serve as the primary/lead consultant on strategic clients. You will lead and cultivate multi-level client relationships with executives, human resource personnel, pharmacy department personnel, and others which enable PSG to partner with clients to create, communicate, and implement pharmacy strategy within the context of the overall client drug management strategy. In addition, you will identify business needs and create custom solutions for sophisticated clients which include overall pharmacy benefit strategy to create cost-effective solutions for various client types. You will also lead vendor strategies that will include procurement efforts, contract negotiation, and ongoing vendor management, while providing industry expertise and insight related to trends and opportunities.

Responsibilities

• Client Management
  • 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.
  • Develop and implement customized strategic plans based on unique client needs to achieve targeted long- and short-term goals.
  • Track and measure vendor contract performance including operational and financial metrics.
  • Lead and participate in ongoing client meetings including:
    • Vendor review
    • Independent strategy and performance assessment meetings
    • Ongoing operational and strategic meetings
  • Use analytical skills/tools to identify and present opportunities to clients that will serve to support trend management, cost savings, identify wasteful spending, and potential fraud, waste, and abuse (FWA).
  • Navigate appropriate internal PSG experts on custom projects.
  • Support clients that wish to create and use customized clinical programs (PA, Formulary, Utilization Management, etc.).
  • Review PBM and other vendor provided pharmacy program indicators and reports for ongoing opportunities and program performance.
  • Maintain ongoing reports and documentation related to client relationship and program.
  • Responsible for renewal of client relationship and creating strategy, scope of services, and appropriate fee structure to match client needs.
• Program and Business Development
  • Lead and cultivate revenue opportunities to support segment growth.
  • Assess opportunity for expanding PSG services within existing clients.
  • Leverage client relationships for PSG prospecting efforts by developing client testimonials.
  • Participate in conferences and other forums for showcasing program experience.
  • Participate in internal workgroups to develop new programs, services, corporate positions, and publications based on the continual assessment of client and market needs.
• Account Implementation
  • Provide oversight, guidance, and serve as an advocate for the client to ensure vendor requirements are being met and service levels are adequate throughout the vendor relationship.
  • Identify issues and concerns for appropriate escalation and resolution to ensure successful outcomes.
• RFP Process Management
  • Lead the development and management of the RFP process for clients including RFP creation, vendor selection meetings, and contract execution (in conjunction with internal RFP teams).
  • Participate in non-client specific annual RFI process via scoring and client meetings.
• Contract 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.
  • Lead the creation and renewal of PSG client agreements to create appropriate scope of services and fee structures.

Qualifications

• Extensive knowledge of Pharmacy Benefit Management, specialty pharmacy, and large employer environments (7 years minimum experience).
• Strong verbal and written communication skills including presentation skills and client relationship management.
• Strong experience and skills working with and presenting to corporate executives.
• Ability to develop strategies and implement programs for client pharmacy benefit programs.
• Strong clinical and financial analysis skills including proficiency in Word, PowerPoint, and Excel.
• Travel required, up to 25%.
• Pharmacy background with bachelor’s degree; MBA and/or PharmD/RPh preferred.
• Business development experience preferred.

Benefits

• Salary is based on background and experience.
• Benefits include full medical, pharmacy, dental, vision, life and disability insurance, paid vacation, sick leave, 401k match, and annual bonus potential.
• The national average salary for this role is $140k to $170k in base pay and exclusive of any bonuses or benefits.
• The base pay offered will be determined based on your experience, skills, training, certifications, and education, while also considering internal equity and market data.