[Remote] Senior Pharmacy Design Consultant

Note: The job is a remote job and is open to candidates in USA. RxBenefits, Inc. is seeking a Senior Pharmacy Design Consultant who will serve as the pharmacy benefit expert in supporting complex new client implementations. This role involves ensuring the accuracy of plan specifications, consulting on benefit design, and maintaining communication with high-profile clients and brokers.

Responsibilities

• Engage in multiple complex client projects simultaneously while ensuring all role deliverables are accomplished on time and accurately documented
• Execute a meticulous review of incumbent plan documents, claim file analysis, and review of other critical benefit design set-up information to inform plan specifications and recommendations to clients and brokers, taking into consideration the nuances of RxBenefits programs and those of the partnering PBM
• Operate as the pharmacy benefit expert for new client implementations, TPA changes, PBM to PBM transitions, and end-to-end plan design audits and other projects, as requested by leadership
• Actively communicate with and relays benefits design set-up information to internal stakeholders, including the Project Lead, Account Manager, Business Development Executive, Clinical and Benefit Configuration Specialist
• Accountable for ensuring client’s benefit intent and benefit design are aligned, accurately documented, and communicated to all necessary parties
• Attend and participate in client and vendor calls
• Responsible for consultative and dynamic conversations with complex clients and brokers regarding the benefit set-up and program/product selection
• Serves as a benefit expert and resource to support department and corporate initiatives
• Proficiently know product, program, benefit design, services, and market conditions to make informed decisions and recommendations to clients and brokers
• Maintain updated client-facing project plan
• Resolve escalated issues and conflicts that arise during project execution, ensuring minimal disruption to project timelines
• Proactively review existing project workflows/deliverables and communicate process improvement opportunities to leadership
• Lead complex process improvement initiative projects during non-peak months, highlighting milestones and strategic outcomes and provide readouts
• Promote best practices and actively contribute to the betterment of the team and organization
• Demonstrate a wide degree of creativity and latitude, with minimal oversight
• Act as Implementation expert in finalist meetings with potential brokers and clients
• Act as a SME resource to help Implementation Teams prepare for Intro and PDX calls
• Act as a Change Champion and exude positivity towards change management to foster acceptance amongst the team

Skills

• 5+ years benefit implementation or pharmacy design experience
• Proven success in a client-facing position
• Pharmacy Benefit experience required
• Proficient in Microsoft Office (Word, Excel, Outlook, Teams)
• Exceptional partner in collaboration with others
• Strong analytical and critical thinking skills that when applied, result 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 in a dynamic environment
• 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
• Bachelor's degree preferred
• Experience with project management software desired

Benefits

• 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

Company Overview