Consultant, Pharmacy Network

This is a fully remote position, open to applicants in United States.

📋 Description

• Manage key client relationships for designated pharmacy network management clients, encompassing both retail and specialty business lines.

• Develop and sustain robust client relationships, serving as the primary contact for client inquiries and concerns.

• Oversee and enhance client support processes and procedures, ensuring timely and precise responses related to provider services.

• Monitor key performance indicators associated with client pharmacy network management support and analyze data to pinpoint areas for enhancement.

• Lead inquiries from Navitus clients and act as a Subject Matter Expert regarding client deliverables and outstanding items.

• Track standards and metrics to drive performance and surpass client service quality expectations.

• Analyze claims utilization and data from various sources including data warehouses, NCRx, formulary files, pharmacy network databases, NCPDP pharmacy files, Medispan files, and other relevant databases.

• Oversee and manage projects aimed at enhancing existing processes and delivering improved quality and efficiency.

• Assist clients and other Navitus departments during new client implementations and engage in client-facing meetings.

• Support the Provider Services team in client retention initiatives, corporate strategic objectives, and customer satisfaction efforts.

• Address client inquiries related to contractual matters, pharmacy participation, pharmacy services, and network discounts.

• Execute additional responsibilities as assigned.

⛳️ Requirements

• Bachelor's degree in healthcare administration, business management, pharmacy, or a related field, or equivalent professional experience, is required.

• Pharmacy technician certification is preferred.

• A minimum of 5 years of business experience in PBM implementation, client management, or project management is required.

• Strong knowledge of PBM processes, pharmacy benefits, and healthcare industry regulations is essential.

• At least 3 years of experience in business, finance, or economics is preferred.

• Ability to engage in, adhere to, and support compliance program objectives.

• Capability to consistently interact cooperatively and respectfully with colleagues.

• Remote work is not available to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming.

🏝️ Benefits

• Competitive industry-leading benefits for Health, Dental, and Vision insurance.

• 20 days of paid time off.

• 4 weeks of paid parental leave.

• 9 paid holidays.

• 401K company match of up to 5% - No vesting requirement.

• Adoption Assistance Program.

• Flexible Spending Account.

• Educational Assistance Plan and support for Professional Memberships.

• Referral Bonus Program – up to $750!

• STAR Bonus % (At Risk Maximum) 5.00.