Pharmacy Design Consultant

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

📋 Description

• Engage in multiple client projects concurrently while ensuring that all assigned deliverables are completed punctually and accurately documented.

• Conduct a thorough second-level review of the data collection process for new client implementations, which involves: careful examination of existing plan documents, analysis of claim files, and evaluation of other essential benefit design setup information.

• Act as the pharmacy benefit specialist for various projects, including new client implementations, medical vendor modifications, eligibility updates, TPA transitions, PBM changes, and other complex client requests.

• Maintain active communication and relay benefit design setup information to internal stakeholders, including the Project Lead and Benefit Configuration Specialist.

• Ensure alignment between the client’s benefit intentions and design, ensuring accurate documentation and communication.

• Attend and engage in client and vendor discussions.

• Facilitate consultative and dynamic dialogues with clients and EBCs regarding benefit setup and program/product selections.

• Proactively assess existing project workflows and deliverables, communicating opportunities for process enhancements.

• Serve as a benefit expert and resource to support departmental and corporate initiatives.

• Continuously seek to enhance knowledge of products, programs, and benefit designs, while staying informed about new products and market conditions.

• Monitor and log defined tasks and deliverables using Clarizen.

• Provide appropriate support to the risk management team and the Client Command Center process.

• Achieve KPI objectives as set by Operations leadership and the department.

• Perform other duties as required.

⛳️ Requirements

• Minimum of 3 years of experience in benefit implementation or pharmacy design.

• Experience in employee benefits is essential; pharmacy experience is a plus.

• Exceptional collaborator with strong partnership skills.

• Demonstrated ability to apply critical thinking to develop unique solutions focused on client needs.

• Process-oriented individual who recognizes the importance of adhering to consistent processes to optimize efficiency and quality.

• Strong organizational skills, including time management, attention to detail, and the ability to handle multiple competing priorities effectively.

• Proven expertise in understanding complex benefit setups and providing sound recommendations to assist clients during transitions or renewals.

• A sense of urgency is required to meet goals, objectives, and deadlines.

• Excellent interpersonal and human relations skills; capable of working collaboratively with individuals at all organizational levels.

• Outstanding written, verbal, and presentation skills; able to convey technical concepts to non-technical audiences.

• A passion for learning and an eagerness to embrace new challenges.

• Ability to make both routine and challenging decisions in a fast-paced, high-stress environment.

🏝️ Benefits

• Remote-first work environment.

• Options for either a HDHP or PPO Medical plan, with 100% premium coverage for the HDHP for you and your eligible family members.

• Dental, Vision, Short- and Long-Term Disability, and Group Life Insurance, with 100% premium coverage (including for family on Dental and Vision).

• Additional buy-up options for Short- and Long-Term Disability and Life Insurance.

• 401(k) plan with an employer match of up to 3.5%, available after 60 days.

• Community Service Day to support causes you are passionate about in your community.

• 10 company holidays, including MLK Day, Juneteenth, and the day after Thanksgiving, along with a floating holiday for personal use.

• Reimbursements for high-speed internet; we provide a computer and monitors to help you perform at your best.

• Tuition Reimbursement for accredited degree programs.

• Paid New Parent Leave available for both adoption and birth.

• Pet insurance to safeguard your furry companions.

• Comprehensive mental health benefits and EAP services through Spring Health to provide support when you need it most.