Senior Consultant - San Diego, CA, United States - Brown & Brown Insurance

Description

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.

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
Recommendation to clients of Tier I and II pharmacy vendors to invite to the RFP process
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; Review monthly MRC reports and work with the Actuarial team on pharmacy/clinical talking points to be presented in the client report
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
7+ years' experience in the design/management of large group pharmacy benefit plans (consulting, brokerage, or carrier/pharmacy benefit manager environment)
Project management experience
Excellent project management skills with the ability to prioritize multiple complex tasks
Excellent growth and advancement opportunities

Generous benefits package:
health, dental, vision, 401(k), etc.
Employee Stock Purchase Plan
We take pride in the diversity of our team and seek diversity in our applicants.
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