Pharmacy Benefit Expert

1 week ago

Birmingham AL USA, United States RxBenefits, Inc. Full time
Job Summary

We are seeking a highly skilled Pharmacy Benefit Consultant to join our team at RxBenefits, Inc. As a Pharmacy Benefit Consultant, you will play a key role in supporting new client implementations and benefit changes for existing clients. You will use your expertise to ensure the clients' benefit intent is consistently and accurately upheld with every new client implementation and benefit change.

Key Responsibilities
  • Participate in multiple client projects simultaneously, ensuring all role deliverables are accomplished on time and accurately documented.
  • Complete a second-level review of the data gathering process for new client implementations, including meticulous review of incumbent plan documents, claim file analysis, and review of other critical benefit design set-up information.
  • Serve as the pharmacy benefit expert on various projects, including new client implementations, medical vendor changes, eligibility changes, TPA changes, PBM to PBM transitions, and other complex client requests.
  • Actively communicate with and relay benefits design set-up information to internal stakeholders, including the Project Lead and Benefit Configuration Specialist.
  • Ensure the client's benefit intent and benefit design are aligned, accurately documented, and communicated.
  • Attend and participate in client and vendor calls.
  • Lead consultative and dynamic conversations with clients and EBCs regarding the benefit set-up and program/product selection.
  • Proactively review existing project workflows/deliverables and communicate process improvement opportunities.
  • Serve as a benefit expert and resource to support department and corporate initiatives.
  • Actively seek to improve product, program, and benefit design knowledge, as well as stay up-to-date on new products and market conditions.
  • Track and log defined tasks and deliverables within Clarizen.
  • Appropriately support the risk management team and the Client Command Center process.
  • Meet KPI goals as defined by Operations leadership and department.
Requirements
  • Bachelor's degree preferred and 3+ years benefit implementation or pharmacy design experience.
  • Proven success in a client-facing position is desired.
  • Employee benefits experience required, pharmacy experience a plus.
  • Experience with project management software desired.
  • Exceptional partner in collaboration with others.
  • Proven ability to apply critical thinking practices that result in unique client-focused solutions.
  • Process-minded individual who understands the importance of following a consistent process to maximize efficiency and quality.
  • Solid organizational skills, including time management, attention to detail, and ability to manage multiple competing priorities effectively.
  • Proven experience understanding complex benefit set-ups and providing solid recommendations to assist clients with a transition/renewal.
  • Sense of urgency necessary to meet goals, objectives, and deadlines.
  • Excellent interpersonal and human relations skills; able to work collaboratively with people at all levels of the organization.
  • Excellent written, verbal, and presentation skills; able to communicate technical concepts to non-technical personnel.
  • A passion for learning and a willingness for taking on new challenges.
  • Ability to make both routine and difficult decisions in a fast-paced, high-stress environment.
What We Offer
  • Competitive salary range: $56,800 - $71,000 annually.
  • Short-term incentive eligibility.
  • Robust total rewards package, including remote work environment, choice of HDHP or PPO medical plan, dental, vision, short- and long-term disability, and group life insurance.
  • 401(k) with an employer match up to 3.5% available after 60 days.
  • Community Service Day to give back and support what you love in your community.
  • 10 company holidays, including MLK Day, Juneteenth, and the day after Thanksgiving, plus a floating holiday to use as you like.
  • Reimbursements for high-speed internet, computer, and monitors to help you do your best work.
  • Tuition Reimbursement for accredited degree programs.
  • Paid New Parent Leave that can be used for adoption or birth.
  • Pet insurance to protect your furbabies.
  • A robust mental health benefit and EAP service through Spring Health to support you when you need it most.

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