Director of Pharmacy Services- Remote

Found in: beBee jobs US - 2 weeks ago


San Diego, California, 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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