Pharmacy Design Consultant

The Pharmacy Design Consultant is the ultimate pharmacy benefit expert. They play a key role in supporting both new client implementations and benefit changes for existing clients. They will use their expertise to ensure the clients’ benefit intent is consistently and accurately upheld with every new client implementation and benefit change. This role is a blend of behind the scenes work as well as client facing responsibilities. The Pharmacy Design Consultant will attend calls to assist with benefit design set ups, addressing client questions and determining final design requirements. This individual owns the consultative conversations with the client and Employee Benefit Consultant (EBC). They provide a thorough description of benefit set up and product options, as well as strategic recommendations. They also understand the benefit design needs of our clients and program/product requirements from our partnering PBMs.

Essential Job Responsibilities Include:

• Participate in multiple client projects simultaneously while 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 which includes: meticulous review of incumbent plan documents, claim file analysis, and review of other critical benefit design set-up information.

• Serves as the pharmacy benefit expert on the following projects: new client implementations, medical vendor changes, eligibility changes, TPA changes, PBM to PBM transitions, and other complex clients requests.

• Actively communicates with and relays 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 communicates process improvement opportunities.

• Serves as a benefit expert and resource to support department and corporate initiatives.

• Actively seeks to improve product, program, and benefit design knowledge as well as staying 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.

• Other duties as assigned.

Required Skills / Experience:

• 3+ years benefit implementation or pharmacy design experience

• Employee benefits experience required, pharmacy experience a plus

• Exceptional partner in collaboration with others

• Proven ability to apply critical thinking practices that results in unique client focused solutions

• Process minded individual who understands the importance of following a consistent process to maximize efficiency & 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

Preferred Skills/Experience:

• Bachelor’s degree preferred

• Proven success in a client facing position is desired

• Experience with project management software desired

Based on relevant market data and other factors, the anticipated hiring range for this role is $62 ,400 to $78 ,000 annually. Final compensation rates will be determined based on various factors, including but not limited to experience, skills, knowledge, and internal equity considerations. This role is also short-term incentive eligible. Incentive amounts will vary by individual and business goals.

We are committed to fair and equitable compensation practices. The final salary offered to the selected candidate may vary from the posted range due to individual qualifications. Our goal is to ensure that all teammates are compensated fairly and competitively based on their contributions to our organization.

RxBenefits is also committed to providing best in class benefits to our teammates. We offer a robust total rewards package that includes:

• Remote first work environment

• Choice of a HDHP or PPO Medical plan, we pay 100% of the premium for the HDHP for you and your eligible family members

• Dental, Vision, Short- and Long-Term Disability, and Group Life Insurance that we also pay 100% of premiums (for your family too on Dental and Vision)

• Additional buy-up options for Short- and Long-Term Disability and 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, we’ll send you a 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

RxBenefits provides equal opportunities for everyone who works for us and everyone who applies to join our team, without regard to sex or gender, gender identity, gender expression, age, race, religious creed, color, national origin, ancestry, pregnancy, physical or mental disability, medical condition, genetic information, marital status, sexual orientation, any service, past, present, or future, in the uniformed services of the United States (military or veteran status), or any other consideration protected by federal, state, or local law.