Job Description

For over 20 years PSG has been singularly focused on helping our clients navigate the complex and ever-changing challenges of drug management. Through our leading pharmacy intelligence and technologies, we save our clients billions of dollars every year with an unwavering commitment to serving as the plan's advocate and strategic partner.

Our mission is to relentlessly advocate for our clients as we partner together to develop innovative drug management solutions that deliver exceptional strategic insights, financial and clinical value.

The Pharmacy Benefit Consultant - Health Plans will serve as primary and lead consultant on strategic clients' projects with a focus on national and regional health plans. Lead and cultivate multi-level client relationships with senior executives, pharmacy department leadership and personnel, sales and product leads, clinical management and others which enable PSG to partner with clients to create, communicate and implement pharmacy strategy within the context of the overall healthcare strategy. Identify business needs and create custom solutions for sophisticated clients which include overall pharmacy benefit and medical management initiatives to address the overall goal of healthcare affordability. Lead vendor (PBM) strategies that will include procurement efforts, contract negotiation and ongoing vendor management. Provide industry expertise and insight related to cost and trend management opportunities.

Responsibilities include:

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 rates.
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 measures.
Lead and participate in ongoing client meetings including vendor review meetings and independent strategy and performance assessment meetings
Identify opportunities to engage internal PSG experts on custom projects and analyses.
Review pharmacy program indicators for ongoing opportunities and program performance measures.
Maintain ongoing reports and documentation related to client relationship and program performance.
Responsible for renewal of client relationship and creating strategy, scope of services and appropriate fee structure to match client needs.
Hyper focus on government programs.

Program and Business Development

Assess opportunity for expanding PSG services within existing client relationship.
Leverage client relationship for PSG prospecting efforts by creating developing client reference.
Participation in conferences and other forums for showcasing program experience and success.
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 vendor implementation.
Identify issues and concerns for appropriate escalation and resolution to ensure successful transition.

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 coordinator).
Participate in non-client RFP process via scoring and client meeting assistance.

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 requirements.
Lead the creation and renewal of PSG client agreements to create appropriate scope of services and fee structure.

Qualifications (Minimum Requirements)

Extensive knowledge of PBM, specialty pharmacy or managed care environments (5-7 years minimum experience).
Strong verbal and written communication skills including presentation skills and client relationship management experience.
Ability to develop strategies and implement programs for large client Rx and medical benefit programs
Strong clinical and financial analysis skills including: Word, PowerPoint and Excel
Pharmacy background with bachelor's degree; MBA or PharmD/RPh strongly preferred
Business development experience preferred

WHY JOIN US?

15th Largest Broker in US
Voted " Best Place to Work" in the Insurance Industry
Awesome Benefits: 401K matching, Generous Time Off Policy, Flexible Work Options, Medical, Dental, Vision, Pet Insurance, Cancer Insurance, Wellness Programs, Employee Award Programs (Trips!).

The national average salary for this role is $160k - $175k 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.

PSG embraces diversity in all its various forms-whether it be diversity of thought, background, race, religion, gender, skills or experience. We are committed to fostering a work community where every colleague feels welcomed, valued, respected and heard. It is our belief that diversity drives innovation and that creating an environment where every employee feels included and empowered, helps us to deliver the best outcome to our clients.

#LI-MJJ

#PSG

#LI-Remote

This job was posted on Sat Mar 30 2024 and expired on Wed Apr 03 2024.

Minimum $160K /yr

$168K /yr Average

Maximum $175K /yr

Tasks

Greet customers and help them locate merchandise.

Accept prescriptions for filling, gathering and processing necessary information.

Operate cash register to process cash or credit sales.

Answer telephone inquiries, referring callers to pharmacist when necessary.

Receive, store, and inventory pharmaceutical supplies or medications, check for out-dated medications, and notify pharmacist when inventory levels are low.

Unpack, sort, count, and label incoming merchandise, including items requiring special handling or refrigeration.

Restock storage areas, replenishing items on shelves.

Maintain and clean equipment, work areas, or shelves.

Prepare prescription labels by typing or operating a computer and printer.

Compound, package, and label pharmaceutical products, under direction of pharmacist.

Provide customers with information about the uses, effects, or interactions of drugs.

Process medical insurance claims, posting bill amounts and calculating copayments.

Calculate anticipated drug usage for a prescribed period.

Perform clerical tasks, such as filing, compiling and maintaining prescription records, or composing letters.

Prepare, maintain, and record records of inventories, receipts, purchases, or deliveries, using a variety of computer screen formats.

Deliver medication to treatment areas, living units, residences, or clinics, using various means of transportation.

Operate capsule or tablet counting machine that automatically distributes a certain number of capsules or tablets into smaller containers.

Skills

Reading Comprehension - Understanding written sentences and paragraphs in work related documents.

Active Listening - Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.

Speaking - Talking to others to convey information effectively.

Social Perceptiveness - Being aware of others' reactions and understanding why they react as they do.

Service Orientation - Actively looking for ways to help people.

Knowledge

Clerical - Knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, stenography and transcription, designing forms, and other office procedures and terminology.

Sales and Marketing - Knowledge of principles and methods for showing, promoting, and selling products or services. This includes marketing strategy and tactics, product demonstration, sales techniques, and sales control systems.

Customer and Personal Service - Knowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.

English Language - Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.