Job Description:
We are looking to add a Sr. Pharmacy Consultant to join our EB team.
Basic Function: The Sr. Pharmacy Consultant will assist the Pharmacy Director in executing on business through consulting and analysis services. The Sr. Pharmacy Consultant will leverage expertise, strong contract negotiation skills and industry-leading analytics to consistently produce validated savings to Holmes Murphy clients.
Essential Responsibilities:
- Trains clients and employees on pharmacy trends, cost containment and clinical strategies.
- Collaborates with Clinical Strategies Team in the development of client clinical analysis and tools.
- Monitors pharmacy and medical utilization across book of business.
- Presents pharmacy strategy in sales finalist meetings for new business and retention of key clients.
- Collaborates with clients on cost effective/efficient plan designs and clinical solutions.
- Serves as expert for internal teams on pharmacy and PBM questions.
- Conducts industry benchmarks, contract reviews and assists in request for proposals.
Additional Responsibilities:
- Assists in the oversight and management of preferred PBM partnerships.
- Assists in the ongoing evaluation of preferred PBM partnerships.
- Uses data to forecast and create avoidance solutions. Analyzes data to enable visibility and transparency into pharmacy spend and trend drivers; Presents results to clients.
- Assists in development of new reporting.
- Provides Pharmacy consulting to clients with respect to their employee benefit health and welfare plans; Responsible for presenting clinical data to clients.
- Manages and implements pharmacy benefit managers (PBM) relationships.
- Build vendor partner relationships and manage vendor issues.
- Performs special projects and other duties as requested.
Knowledge, Skills and Abilities:
- Advanced level of data understanding and use. Ability to understand and work with financial, accounting, math and health care concepts.
- Excellent knowledge of Microsoft systems including Excel and PowerPoint.
- Ability to work with detail, follow directions and maintain a high level of accuracy.
- Excellent project and time management skills.
- Multi-tasked oriented and prioritizes work, voluntarily extends hours, and/or solicits additional resources when necessary to ensure timely completion of tasks.
- Ability and willingness to consistently participate in internal and external educational opportunities to enhance knowledge of current insurance topics or relevant system improvements.
- Ability and willingness to pursue relevant designations and/or continuing education, as appropriate.
- Ability to apply common sense understanding to carry out instructions furnished in written, oral or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.
- Ability to exert up to 10 pounds of force occasionally, and/or negligible amount of force frequently or constantly to lift, carry, push, pull objects.
- Must be knowledgeable of and comply with HMA's Client Privacy Policy, HIPAA regulations and E&O procedures and policies.
Qualifications:
- Education: Bachelor’s degree or equivalent work experience required.
- Experience: 7+ years’ experience, preferably in a consulting, employee benefits or provider organization.
Competencies
In addition to the responsibilities, knowledge, skills, and abilities outlined in this job description, the Company also assesses and develops employees based on core and technical competencies through a performance management process. Competencies applicable to this role include:
Core Competencies
- Trust: Build trust through honest and caring actions and consistently do the right thing.
- Communication: Seek understanding to convey messages and information to others in a caring and constructive manner.
- Client Focus: Establish meaningful relationships with clients (internal and external) by supporting their unique potential and delivering an impactful experience.
- Teamwork: Contributes to the success of the organization by effectively influencing others and uplifting their experiences and unique strengths.
Technical Competencies:
- Business & Technology Knowledge: Invests in the development of technical knowledge, understands business needs to make informed decisions and deliver technology solutions, including effective related processes and procedures.
- Problem Solving: Ability to efficiently identify problem(s), leverage resources to determine root cause(s) and propose and implement solutions or make improvements.
- Insurance Knowledge, Principles, & Practice: Invests in the understanding and application of insurance principles, practices, and coverage to consult clients on meeting their strategic needs, including risk transfer, financial elements, relevant parties, and business flows and transactions
- Analytical Skills: Ability to identify an opportunity and/or root cause, apply logical reasoning to analyze the facts, and develop and execute an effective outcome.
- Client Management: Actively fosters client relationships by seeking to understand their business and needs, prioritizing deliverables, managing status, and proactively delivering unique and impactful solutions.
Benefits: In addition to core benefits like health, dental and vision, also enjoy benefits such as:
- Paid Parental Leave and supportive New Parent Benefits — We know being a working parent is hard, and we want to support our employees in this journey!
- Company paid continuing Education & Tuition Reimbursement — We support those who want to develop and grow.
- 401k Profit Sharing — Each year, Holmes Murphy makes a lump sum contribution to every full-time employee’s 401k. This means, even if you’re not in a position to set money aside for the future at any point in time, Holmes Murphy will do it on your behalf! We are forward-thinking and want to be sure your future is cared for.
- Generous time off practices in addition to paid holidays — Yes, we actually encourage employees to use their time off, and they do. After all, you can’t be at your best for our clients if you’re not at your best for yourself first.
- Supportive of community efforts with paid Volunteer time off and employee matching gifts to charities that are important to you — Through our we offer several vehicles where you can make an impact and care for those around you.
- Inclusion & Belonging Programs — Holmes Murphy is committed to celebrating every employee’s unique potential. Through inclusion and belonging initiatives, titled Uniquely United, not only do we offer employees a paid Diversity Day time-off option, but we also have a Uniquely United Committee, Employee Resource Groups, and development programs to advance our culture of belonging. We encourage employees to engage in ways that are meaningful to them to enhance their overall experience!
- Consistent merit increase and promotion opportunities — Employees are reviewed annually for merit increases and promotion opportunities because we believe growth is important — not only with your financial wellbeing, but also your career wellbeing.
- Discretionary bonus opportunity — Yes, there is an annual opportunity to make more money. Who doesn’t love that?!
At this time, we are not considering candidates who require any type of immigration sponsorship now or in the future. This includes candidates whose current work authorization is temporary or set to expire and who would require employer participation in any renewal, extension, or new authorization process to continue employment.
The salary range for Minnesota is $89,900– $148,300. Compensation is based on several factors, including, but not limited to, education, work experience and industry certifications. In addition to your salary, Holmes Murphy offers a comprehensive total rewards program including annual bonuses, total wellbeing benefits and support for professional development.
