Senior Pharmacy Consultant- Remote - Brown & Brown : Job Details

Director of Pharmacy Services- Remote page is loaded Director of Pharmacy Services- Remote Apply remote type Remote locations San Diego, CA, USA time type Full time posted on Posted 3 Days Ago job requisition id R24_000#######

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 (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.

We think of ourselves as a team, so we have teammates - not employees. We strive to attract people who are competitive, driven, and disciplined. Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers.

Brown & Brown is a unique and decentralized publicly traded organization (NYSE: BRO) that has grown to become the fifth largest insurance intermediary in the country. We sell property & casualty insurance and employee benefits insurance to mid-sized and large corporations throughout the country. Our size provides us with access to the best products in the marketplace, while still maintaining a very local community feel. Through growing and developing relationships with carrier partners and expert resources, Brown & Brown stands out as a leader in the industry. As our business grows, our people grow with it!Becoming an employee, or as we like to call it a teammate, of Brown & Brown introduces you to a career with virtually unlimited possibilities. Our unique culture rewards self-starters and hard workers who adhere to our commitment to do what is best for our customers. With Brown & Brown you will get the training, the mentoring and the tools you need to succeed. Our teammates are bound together by shared goals and our collective commitment to integrity and quality. Brown & Brown s local leaders are actively engaged in their communities and committed to maintaining an established network, as well as creating strong relationships of their own.