PHARMACY BENEFIT CONSULTANT

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timePosted 3 days ago location United States salarySalary undisclosed
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Job Description

Drive the client project for change management for Pharmacy and Operations teams to manage and prioritize needs and implement best in class pharmacy benefit solutions. Develop and maintain client relationships to ensure superior customer transformation experience and maximum return. Lead the Client Management, IT and Operations teams to ensure the RX pharmacy portion of the implementation process is executed accurately and on time. This includes reviewing plan for accuracy, presenting benefit detail in a customer meeting with the Teams and arranging for client buy in, requesting IT components within the organization and across partners, coordinating file transfers from previous vendors (ORTF, Prior Authorizations, Claims History Files, and Accumulation totals), running the core teams within to support the new customers (teams include PA, Benefits, Customer Service, Clinical, Specialty Pharmacy), confirm and ensure for accuracy Customer Service Applications and benefit build set up for new customers and develop and coordinate any customer, member, or pharmacy communications. Responsibilities Manage the entire client on ndash selection process for the Benefit implementation, main contact for the client Conduct the client benefit discussions with all parties and ensure client sign - off for their benefit intent forms Coordinate efforts with internal departments for the creation of formulary, specialty products and pharmacy networks Coordinate formulary specialty disruption analysis to impacted membership Work with Operations, IT and Functional leaders to proactively identify implementation issues and drive their resolution Develop and present presentations for new business customer finalist presentations with Sales Facilitate meetings at various levels of the organization, including management weekly reviews Monitor, track and report implementation status and performance, internally and the client Identify implementation risks, implement a mitigation action plan and drive improved outcomes, communicate to senior leadership Manages the implementation of pharmacy benefit plans for all direct business market types