Director of Pharmacy Services- Remote

4 weeks ago

San Diego, United States Brown & Brown, Inc. Full time
Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers.

Piper Jordan is seeking a Director of Pharmacy Services for its growing team

Piper Jordan is a rapidly growing consulting firm offering state-of-the-art employee benefits solutions to national employers. Entrepreneurial spirit has been a major factor in Piper Jordan's success.

WHAT YOU'LL DO:

Provide value-added consulting experience on sophisticated pharmacy benefit projects, including:
• Pharmacy benefit plan design and cost savings strategies
• Customized strategies to enable clients to proactively reduce risk and maximize savings
• PBM performance auditing (post-implementation, financial, and operational as appropriate)
• Specialty pharmacy management for retail and medical specialty medications
• Evaluation of on-site pharmacies at client locations
• Contribute pharmacy and related perspectives to broader health and benefits projects including population health and DEI strategies.
• Support the generation of new business by participating in prospecting opportunities with new clients
• Serve as a pharmacy benefit subject matter expert and trusted advisor to clients
• Perform core pharmacist duties including prospective/retrospective drug utilization reviews, comprehensive medication reviews, diabetes programs, and recommendation of changes to a patient's drug regimen as required
• Effectively collaborate with third parties in the administration of a client's clinical pharmacy strategy
• Collaborate with the account team to ensure alignment among client culture, expectations, and goals
• Contribute to the design and evolution of technology-enabled processes to create a scalable clinical pharmacy operation
• Stay abreast of pharmacy regulatory standards and ensure that they are met consistently
• Support and facilitate the pharmacy marketing process, including:
  • Creation, editing, and management of content to be included in the pharmacy profile and RFP
  • Internal recommendation of vendors to be invited to complete profiles
  • Recommendation to clients of Tier I and II pharmacy vendors to invite to the RFP process
  • Scoring and presentation of results to clients
  • Negotiation of terms and rates for PBM services

• Actively support clients in the implementation of new PBM partners or programs
• Support the development and management of the Medical Specialty program
• Work with PBMs to customize formularies to include custom exclusions based on lowest ingredient cost or lowest net cost as applicable/appropriate; provide annual review and revision of client and custom formularies
• Review PBM formularies and post to applicable client microsites
• Review monthly MRC reports and work with the Actuarial team on pharmacy/clinical talking points to be presented in the client report
• Using MRC reports, review wasteful drugs and work with PBMs to understand formulary placement and strategy
• Conduct PBM market checks as needed
• Create and distribute high-cost claimant monitoring reports for designated clients
• Support Account and Actuarial team in the delivery of standard reporting to include high[1]cost claimant, relevant pharmacy news, and pharmacy utilization trends

WHAT YOU'LL NEED:
• Clinical licensure (LPN, RN, etc. at minimum)
• 7+ years' experience in the design/management of large group pharmacy benefit plans (consulting, brokerage, or carrier/pharmacy benefit manager environment)
• Expert level knowledge of HIPAA requirements
• State Life and Health license, or willingness to obtain within 90 days
• Previous success in managing client issues/relationships
• Project management experience
• PharmD or RPh designation, Preferred
• Excellent written and verbal communication skills
• Task-oriented, conscientious, ambitious, and self-motivated
• Ability to set and manage client expectations
• Ability to strategically plan and set/meet goals
• Flexibility and proven ability to identify and resolve issues
• Adaptability to change in the work environment, managing competing demands and frequent change, delays, or unexpected events
• Ability to work independently with minimal direction
• Critical thinking and analytical problem-solving skills
• Customer-focused attitude
• Organization, accuracy, and attention to detail
• Excellent project management skills with the ability to prioritize multiple complex tasks
• Integrity, judgment, and commitment to maintaining the highest level of confidentiality
• Ability to make sound, timely decisions that propel the company forward
• Ability to develop PowerPoint presentations according to Piper Jordan standards
• Active listening, sensitivity to the audience, and follow-up skills
• Professional and ethical business practices, adherence to company standards, and commitment to personal and professional development

WHAT WE OFFER:
• Excellent growth and advancement opportunities
• Competitive pay based on experience.
• Paid time off
• Generous benefits package: health, dental, vision, 401(k), etc.
• Employee Stock Purchase Plan

#LI-KM1

We are an Equal Opportunity Employer. We take pride in the diversity of our team and seek diversity in our applicants.

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