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    Senior Pharmacy Consultant- Remote - San Diego, United States - Brown & Brown Inc Defunct

    Brown & Brown Inc Defunct
    Brown & Brown Inc Defunct San Diego, United States

    1 day ago

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    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 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

    #LI-KM1

    We are an Equal Opportunity Employer. We take pride in the diversity of our team and seek diversity in our applicants.
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