Pharmacy Benefit Consultant, Health Plan

Remote US Based PGS (an EPIC owned company) has been focused on helping clients navigate drug management challenges for over 20 years. Through our leading pharmacy intelligence and technologies, we save clients billions of dollars annually with a commitment to serving as the plan’s advocate and strategic partner. Position Overview The Pharmacy Benefit Consultant – Health Plans will serve as the primary and lead consultant on strategic clients’ projects with a focus on national and regional health plans. Responsibilities include leading and cultivating multi‑level client relationships with senior executives, pharmacy department leadership and personnel, sales and product leads, clinical management, and others. The role enables PSG to partner with clients to create, communicate, and implement pharmacy strategy within the overall healthcare strategy. Responsibilities 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 relationships and program performance. Responsible for renewal of client relationship and creating strategy, scope of services and appropriate fee structure to match client needs. Assess opportunities for expanding PSG services within existing client relationships. Leverage client relationship for PSG prospecting efforts by creating and developing client reference. Participate 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 assessment of client and market needs. Provide oversight, guidance and serve as an advocate for the client to ensure vendor requirements are met and service levels are adequate throughout vendor implementation. Identify issues and concerns for appropriate escalation and resolution to ensure successful transition. Lead the development and management of the RFP process for clients, including RFP creation, vendor selection meetings and contract execution. Participate in non‑client RFP process via scoring and client meeting assistance. Review and execute new and renewing vendor contracts, ensuring current terms, definitions and compliance with RFP requirements. Create and renew PSG client agreements to develop appropriate scope of services and fee structures. 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 proficiency with Word, PowerPoint and Excel. Pharmacy background with a bachelor’s degree; MBA or PharmD/RPh preferred. Business development experience preferred. Salary & Benefits Salary is based on background and experience. Benefits include full medical, pharmacy, dental, vision, life and disability insurance, paid vacation, sick leave, 401(k) match and annual bonus potential. The national average salary for this role is $180k to $200k in base pay, exclusive of 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. Why EPIC EPIC has over 60 offices and 3,000 employees nationwide and is growing. We offer: Generous Paid Time Off (Managed PTO for salaried/exempt employees; 22 PTO days for hourly/non‑exempt employees; 12 company‑observed paid holidays; 4 early‑close days). Generous leave time options: Paid parental leave, pregnancy disability and bonding leave, and organ donor/bone marrow donor leave. Generous employee referral bonus program of $1,500 per hired referral. Employee recognition programs for demonstrating EPIC’s values plus additional awards and programs (and trips!). Employee Resource Groups: Women’s Coalition, EPIC Veterans Group. Unique benefits such as Pet Insurance, Identity Theft & Fraud Protection Coverage, Legal Planning, Family Planning, and Menopause & Midlife Support. Additional benefits: 401(k) matching, medical insurance, dental insurance, vision insurance, wellness & employee assistance programs. 50/50 Work Culture: fostering a balanced collaboration between producers and the rest of the business. Philanthropic efforts: Donation Connection, Employee Assistance Fund, People First Foundation. EPIC 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 deliver the best outcome to our clients. Equal Employment Opportunity As set forth in EPIC Brokers’s Equal Employment Opportunity policy, we do not discriminate on the basis of any protected group status under any applicable law. #J-18808-Ljbffr Epic Insurance