Senior Pharmacy Consultant- Remote

2 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 Senior Pharmacy Consultant 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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