Director of Pharmacy Services- Remote - San Diego, United States - Brown & Brown Insurance

Brown & Brown Insurance
Brown & Brown Insurance
Verified Company
San Diego, United States

3 weeks ago

Mark Lane

Posted by:

Mark Lane

beBee recruiter
Description

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers.

Piper Jordan is seeking a Director of Pharmacy Services 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 (postimplementation, financial, and operational as appropriate)
  • Specialty pharmacy management for retail and medical specialty medications
  • Evaluation of onsite 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
  • 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 technologyenabled 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 highcost 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
  • Taskoriented, conscientious, ambitious, and selfmotivated
  • 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 mínimal direction
  • Critical thinking and analytical problemsolving skills
  • Customerfocused 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 followup 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.
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