Pharmacy Benefit Consultant, Health Plan

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Overview

The role of Pharmacy Benefit Consultant at Edgewood Partners Insurance Center (specifically under the PSG division) presents a significant opportunity for candidates interested in the healthcare and drug management sectors. Having operated for over 20 years, PSG, an EPIC-owned company, is dedicated to assisting clients in navigating the complexities of drug management challenges. Their mission revolves around advocating for clients and developing innovative drug management solutions.

Responsibilities

The Pharmacy Benefit Consultant will serve as the primary consultant for strategic projects associated with national and regional health plans. Key responsibilities will include:

• Leading and cultivating multi-level client relationships across several domains, including senior executives and clinical management.
• Identifying business needs and designing tailored solutions for clients focused on pharmacy benefits and medical management initiatives.
• Overseeing vendor strategies, including procurement, contract negotiation, and ongoing vendor management.
• Tracking and measuring vendor contract performance based on financial and operational metrics.
• Actively participating in meetings with clients to assess pharmacy program indicators and opportunities for improvement.
• Engaging in internal workgroups to develop new programs and services based on client needs and market analysis.
• Guiding the Request for Proposal (RFP) process, from creation to contract execution, ensuring compliance with requirements.

Required Skills and Qualifications

Candidates applying for this role should meet the following qualifications:

• Extensive experience in pharmacy benefit management or related fields (minimum of 5-7 years).
• Strong verbal and written communication skills, alongside proficiency in client relationship management.
• Abilities to develop and execute strategies for large client Rx and medical benefit programs.
• Proficiency in clinical and financial analysis, especially using tools such as Word, PowerPoint, and Excel.
• A Pharmacy background with a bachelor’s degree is essential; further education like an MBA or PharmD/RPh is strongly preferred.
• Business development experience would be advantageous.

Salary and Benefits

The compensation for this role is influenced by the candidate's experience, skills, and qualifications. The average salary for Pharmacy Benefit Consultant is reported to be between $180,000 to $200,000 annually, excluding bonuses and other benefits. In terms of benefits, the company offers:

• Full medical, dental, vision, life, and disability insurance.
• Paid vacation and sick leave.
• 401(k) matching and potential annual bonuses.
• Unique benefits such as pet insurance and identity theft protection.
• Generous parental leave options and professional growth opportunities, such as mentorship programs.

Work Environment and Culture at EPIC

Working at EPIC provides a vibrant culture to employees, with a 50/50 work culture that emphasizes collaboration and teamwork. Employees enjoy an environment that fosters inclusivity and diversity, underscoring the importance of varied perspectives in driving innovation. EPIC is recognized for its philanthropic efforts, allowing employees to participate in meaningful charitable activities.

Why Join Edgewood Partners?

As part of EPIC (Edgewood Partners Insurance Center), employees are welcomed into an organization with over 60 offices and 3,000 employees nationwide. This role offers not just a position but a chance to contribute to a company that values growth, diversity, and employee satisfaction. With generous paid time off and a variety of unique benefits, candidates can expect a supportive work environment that prioritizes their well-being and professional development.

Conclusion

For job seekers interested in a Pharmacy Benefit Consultant position, this role at Edgewood Partners Insurance Center provides an excellent opportunity to impact healthcare strategies significantly. The position requires a blend of experience in pharmacy management, strategic thinking, and effective communication skills. Candidates looking to excel in a collaborative and innovative work culture will find this position aligning with their career aspirations.

This job offer was originally published on himalayas.app