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Piper Jordan is seeking a Senior Pharmacy Consultant for its growing team!
Piper Jordan is a rapidly growing consulting firm offering state-of-the-art employee benefits solutions to national employers. Entrepreneurial spirit has been a major factor in Piper Jordan’s success.
What You’ll Do
Provide value-added consulting experience on sophisticated pharmacy benefit projects, including:
Pharmacy benefit plan design and cost savings strategies
Customized strategies to enable clients to proactively reduce risk and maximize savings
PBM performance auditing (post-implementation, financial, and operational as appropriate)
Specialty pharmacy management for retail and medical specialty medications
Evaluation of on-site pharmacies at client locations
Contribute pharmacy and related perspectives to broader health and benefits projects including population health and DEI strategies.
Support the generation of new business by participating in prospecting opportunities with new clients
Serve as a pharmacy benefit subject matter expert and trusted advisor to clients
Perform core pharmacist duties including prospective/retrospective drug utilization reviews, comprehensive medication reviews, diabetes programs, and recommendation of changes to a patient’s drug regimen as required
Effectively collaborate with third parties in the administration of a client’s clinical pharmacy strategy
Collaborate with the account team to ensure alignment among client culture, expectations, and goals
Contribute to the design and evolution of technology-enabled processes to create a scalable clinical pharmacy operation
Stay abreast of pharmacy regulatory standards and ensure that they are met consistently
Support and facilitate the pharmacy marketing process, including:
Creation, editing, and management of content to be included in the pharmacy profile and RFP
Internal recommendation of vendors to be invited to complete profiles
Recommendation to clients of Tier I and II pharmacy vendors to invite to the RFP process
Scoring and presentation of results to clients
Negotiation of terms and rates for PBM services
Actively support clients in the implementation of new PBM partners or programs
Support the development and management of the Medical Specialty program
Work with PBMs to customize formularies to include custom exclusions based on lowest ingredient cost or lowest net cost as applicable/appropriate; provide annual review and revision of client and custom formularies
Review PBM formularies and post to applicable client microsites
Review monthly MRC reports and work with the Actuarial team on pharmacy/clinical talking points to be presented in the client report
Using MRC reports, review wasteful drugs and work with PBMs to understand formulary placement and strategy
Conduct PBM market checks as needed
Create and distribute high-cost claimant monitoring reports for designated clients
Support Account and Actuarial team in the delivery of standard reporting to include high[1]cost claimant, relevant pharmacy news, and pharmacy utilization trends
What You’ll Need
Clinical licensure (LPN, RN, etc. at minimum)
7+ years’ experience in the design/management of large group pharmacy benefit plans (consulting, brokerage, or carrier/pharmacy benefit manager environment)
Expert level knowledge of HIPAA requirements
State Life and Health license, or willingness to obtain within 90 days
Previous success in managing client issues/relationships
Project management experience
PharmD or RPh designation, Preferred
Excellent written and verbal communication skills
Task-oriented, conscientious, ambitious, and self-motivated
Ability to set and manage client expectations
Ability to strategically plan and set/meet goals
Flexibility and proven ability to identify and resolve issues
Adaptability to change in the work environment, managing competing demands and frequent change, delays, or unexpected events
Ability to work independently with minimal direction
Critical thinking and analytical problem-solving skills
Customer-focused attitude
Organization, accuracy, and attention to detail
Excellent project management skills with the ability to prioritize multiple complex tasks
Integrity, judgment, and commitment to maintaining the highest level of confidentiality
Ability to make sound, timely decisions that propel the company forward
Ability to develop PowerPoint presentations according to Piper Jordan standards
Active listening, sensitivity to the audience, and follow-up skills
Professional and ethical business practices, adherence to company standards, and commitment to personal and professional development
What We Offer
Excellent growth and advancement opportunities
Competitive pay based on experience.
Paid time off
Generous benefits package: health, dental, vision, 401(k), etc.
Employee Stock Purchase Plan
We are an Equal Opportunity Employer. We take pride in the diversity of our team and seek diversity in our applicants.
Seniority level
Mid-Senior level
Employment type
Full-time
Job function
Health Care Provider and Consulting
Industries
Insurance
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