[Remote] Pharmacy Design Consultant

Note: The job is a remote job and is open to candidates in USA. RxBenefits, Inc. is a company that specializes in pharmacy benefits, and they are seeking a Pharmacy Design Consultant to support client implementations and benefit changes. This role involves ensuring clients' benefit intent is upheld, leading consultative conversations, and providing strategic recommendations based on benefit design needs.

Responsibilities

• 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

Skills

• 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
• Bachelor's degree preferred
• Proven success in a client facing position is desired
• 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