- Client Consultation
- Builds and grows relationships with brokers and clients by offering strategic solutions to hospital pharmacy challenges.
- Performs proactive utilization and trend analysis to identify solutions that assist in managing and reducing drug spend.
- Plays major advisory role by providing client consultation on RxBenefits and/or PBM services and products.
- Creates plan design strategies that effectively align with the goals of the HR, finance, and the pharmacy teams.
- Builds collaborative partnership with broker consultant and hospital (tribal) staff to promote maximization of in-house pharmacy capabilities.
- Client and Industry Awareness
- Responsible for understanding the client's organization and key contacts, products/services and client initiatives.
- Ongoing awareness of hospital (tribal) landscape and in-house pharmacy.
- Understanding of 340B and the overall impacts on the entity.
- Interdepartmental communication
- Accountable for accurate and timely preparation of client deliverables; assists in new client onboarding, facilitates in-house pharmacy set up for new and existing clients, initiates requests for benefit plan changes, produces the expected monthly and quarterly reports.
- Participates in ongoing educational events for skill and knowledge development.
- Attends ongoing training specific to in-house pharmacy processes and procedures.
- Develops and maintains effective working relationships in a consultative role with service partner contacts (such as analysts, underwriters, brokers & consultants, PBMs, sales and service representatives) and client HR & in-house pharmacy contacts.
- Partners with client onboarding team for new client implementations
- Facilitates in-house set up discussions, complete necessary set-up form and review with client/IHP.
- Facilitates new client deliverables: benefit welcome kits, member communications, and open enrollment deliverables in conjunction with internal client onboarding.
- Prepares and obtains employee materials and presents employee benefits via webinars or in face-to-face enrollment meetings.
- Effectively communicates with internal key stakeholders while keeping them fully informed of all important activities on client accounts.
- Performs Quality Checks of service agreements, claims processing, benefit designs, financial reports, etc.
- Specializes in effective practices to meet in-house pharmacy objectives.
- Acts as liaison in conjunction with pharmacy benefit operations, between client, client in-house pharmacy team, brokers and PBM companies to independently resolve all service problems. Specifically, assist the client in resolving billing, claim, eligibility, COBRA and customer service problems.
- Devises strategies and recommendations for clients in regard to cost containment solutions.
- Facilitate benefit change forms, member impact and communications in conjunction with benefit change teams.
- Conducts frequent client and broker consultant discussions and meetings regarding expectations and progress toward client goals.
- Prepares reports deemed necessary by the Director, Strategic Markets, broker consultant and client.
- Keeps all information on accounts accurate and up to date.
- Communicates RxBenefits "Our Value-Added Service" to our clients.
- Meets or exceeds departmental goals established by the Director, Strategic Markets
- Assists with keeping department materials, contacts, intranet, etc. up to date.
- Assists with the development of job aids, training materials, etc.
- Presents a positive image in and out of the office to fellow employees, members, providers, and the community.
- Bachelor's degree required.
- 5+ years in a similar role with experience in a related industry which includes PBM, pharmacy consulting, pharmacy, hospital/healthcare.
- Professional experience with 340B and/or GPO fee schedules.
- Professional experience supporting hospital personnel and in-house pharmacies.
- Proficient in Microsoft Office (Word, Excel, PowerPoint, Outlook).
- Possesses a deep knowledge of marketplace; carriers, underwriting requirements & the benefits/services they offer.
- Must have a thorough knowledge of Employee Benefits insurance with an ability to read, analyze and interpret industry policies and contract documents.
- Shows excellent presentation and communication skills.
- Displays strong analytical and critical thinking skills.
- Organizational skills and the ability to prioritize in a dynamic environment is critical.
- Person must be self-motivated with the ability to work independently with limited supervision or within a group or team.
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Strategic Account Executive, Healthcare Markets - New London, United States - RxBenefits
Description
Strategic Account Executive – Healthcare MarketsRxBenefits is hiring We are adding Strategic Account Executives (SAE's) to our growing team focused on serving the Hospital and tribal entity markets along with other clients with in-house pharmacies. This Strategic Account Executive position directly supports the broker consultant(s) and clients, including Human Resources and In-house pharmacy leadership and staff by continuously analyzing drug trend, recommending plan design strategies and clinical products to accomplish client goals and objectives. The SAE closely partners with broker consultants and clients throughout the client life cycle with a goal of client satisfaction and client retention. Internally, the SAE supports our sales and implementation teams during and after the sales phase of the business. SAE assumes complete responsibility of building and maintaining an extremely positive relationship with our clients. This position requires extensive knowledge of the PBM industry and the hospital landscape. The ability to become a trusted advisor will ultimately enable the SAE to reach set retention goals and secure client referrals. This is a remote position with travel as needed.
Job Responsibilities Include:
