Pharmacy Benefit Consultant

Company :

Job Description :

JOB SUMMARY

Dynamic and results-oriented Pharmacy Benefit Consultant, serving as the client-facing expert, driving growth and retention of Highmark’s self-funded clients while ensuring seamless delivery of exceptional pharmacy benefit solutions.

ESSENTIAL RESPONSIBILITIES

• Client Advisement: Build and cultivate strong relationships with key stakeholders, including clients, brokers, consultants, and internal Highmark colleagues.

• Expert Consultation: Provide in-depth pharmacy benefit expertise, offering strategic guidance, clinical recommendations, and solutions tailored to individual client needs.

• Business Development & Retention: Play a vital role in acquiring new clients and ensuring the successful implementation of their pharmacy programs.

• Represent Highmark: Serve as the subject matter expert for all pharmacy programs, products, and benefit recommendations, advocating for Highmark's solutions and services.

• Sales & Marketing Support: Collaborate with the internal teams to develop and execute impactful presentations, sales collateral, and client proposals.

• Data Analysis & Strategy: Leverage data-driven insights to identify trends, optimize pharmacy benefits, and create cost-effective strategies.

• Program Design & Implementation: Actively participate in the design and implementation of innovative pharmacy programs, ensuring seamless transitions for new and existing clients.

• Training & Education: Conduct impactful training sessions for both internal and external stakeholders, promoting knowledge sharing and best practices.

• Other duties as assigned or requested.

EXPERIENCE

Required

• 3 years of experience in Healthcare Industry

• 3 years of experience in Pharmacy

• 3 years of experience with communications
  

Preferred

• 5 years of experience with communications

• 3 years of experience in Utilization Review

• 3 years of experience in Account Support

• 1 year of experience in Managed Care Support

• 1 year of experience in Consulting

SKILLS

• In-depth knowledge of the pharmacy industry, including benefit design, formulary management, and pharmacy best practices.

• Proven ability to interpret and analyze data, translating insights into actionable strategies.

• Excellent communication and presentation skills with a proven track record of effectively engaging with clients and stakeholders.

• Strong relationship building, with a focus on building trust and rapport.

• Experience in supporting RFP/RFI processes and delivering compelling presentations.

• A collaborative and team-oriented approach, with a strong commitment to delivering exceptional client service.

EDUCATION

Required

• Bachelor’s degree in Clinical field such as Pharmacy, Nursing, Nutrition or a Business related field or relevant experience and/or education as determined by the company in lieu of bachelor's degree.

Substitutions

• 6 years experience in pharmacy or managed health care setting in lieu of Bachelor degree

Preferred

• Master's degree
  

LICENSES or CERTIFICATIONS

Required

• None
  

Preferred

• PA clinical licensure/certifications such as RN, RD, Pharmacist

Language (Other than English):

None

Travel Requirement:

0% - 25%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type

Office- or Remote-based

Teaches / trains others

Occasionally

Travel from the office to various work sites or from site-to-site

Rarely

Works primarily out-of-the office selling products/services (sales employees)

Never

Physical work site required

No

Lifting: up to 10 pounds

Constantly

Lifting: 10 to 25 pounds

Occasionally

Lifting: 25 to 50 pounds

Rarely

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement : This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.

Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Pay Range Minimum:

Pay Range Maximum:

Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

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