Pharmacy Benefit Consultant, Health Plan

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🕒 February 24

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EPIC Insurance Brokers & Consultants

1001 - 5000 employees

🤝 B2B

💰 Seed Round on 2007-01

Insurance • B2B • Consulting

EPIC Insurance Brokers & Consultants is a leading insurance brokerage and consulting firm that specializes in providing comprehensive insurance solutions and risk management services to businesses and individuals. With a focus on innovation and customer service, EPIC leverages its expertise to help clients navigate the complex insurance landscape and ensure they have the right coverage for their needs. The firm operates with a commitment to its core values of integrity, excellence, and teamwork, striving to deliver exceptional value to every client.

📋 Description

• Identify and maintain appropriate multi-level client relationships and a deep understanding of client business and corporate culture resulting in high client satisfaction and retention rates. • Develop and implement customized strategic plans based on unique client needs to achieve targeted long- and short-term goals. • Track and measure vendor contract performance including operational and financial measures. • Lead and participate in ongoing client meetings including vendor review meetings and independent strategy and performance assessment meetings. • Identify opportunities to engage internal PSG experts on custom projects and analyses. • Review pharmacy program indicators for ongoing opportunities and program performance measures. • Maintain ongoing reports and documentation related to client relationships and program performance. • Responsible for renewal of client relationship and creating strategy, scope of services and appropriate fee structure to match client needs. • Assess opportunity for expanding PSG services within existing client relationship. • Leverage client relationship for PSG prospecting efforts by creating developing client reference. • Participation in conferences and other forums for showcasing program experience and success. • Participate in internal workgroups to develop new programs, services, corporate positions and publications based on the continual assessment of client and market needs. • Provide oversight, guidance and serve as an advocate for the client to ensure vendor requirements are met and service levels are adequate throughout vendor implementation. • Identify issues and concerns for appropriate escalation and resolution to ensure successful transition. • Lead the development and management of the RFP process for clients including RFP creation, vendor selection meetings and contract execution (in conjunction with internal RFP coordinator). • Participate in non-client RFP process via scoring and client meeting assistance. • Lead the review process for new and renewing vendor contracts through final execution to ensure current terms, definitions and compliance with RFP requirements. • Lead the creation and renewal of PSG client agreements to create appropriate scope of services and fee structure.

🎯 Requirements

• Extensive knowledge of PBM, specialty pharmacy or managed care environments (5-7 years minimum experience) • Strong verbal and written communication skills including presentation skills and client relationship management experience • Ability to develop strategies and implement programs for large client Rx and medical benefit programs • Strong clinical and financial analysis skills including Word, PowerPoint and Excel • Pharmacy background with bachelor’s degree; MBA or PharmD/RPh strongly preferred • Business development experience preferred

🏖️ Benefits

• full medical, pharmacy, dental, vision, life and disability insurance • paid vacation • sick leave • 401k match • annual bonus potential • Generous Paid Time off • Managed PTO for salaried/exempt employees (personal time off without accruals or caps); 22 PTO days starting out for hourly/non-exempt employees; 12 company-observed paid holidays; 4 early-close days • Generous leave time options: Paid parental leave, pregnancy disability and bonding leave, and organ donor/bone marrow donor leave • Generous employee referral bonus program of $1,500 per hired referral • Employee recognition programs for demonstrating EPIC’s values plus additional employee recognition awards and programs (and trips!) • Employee Resource Groups: Women’s Coalition, EPIC Veterans Group • Professional growth & development: Mentorship Program, Tuition Reimbursement Program, Leadership Development • Unique benefits such as Pet Insurance, Identity Theft & Fraud Protection Coverage, Legal Planning, Family Planning, and Menopause & Midlife Support • Additional benefits include (but are not limited to): 401(k) matching, medical insurance, dental insurance, vision insurance, and wellness & employee assistance programs • 50/50 Work Culture: EPIC fosters a 50/50 culture between producers and the rest of the business, supporting collaboration, teamwork, and an inclusive work environment. It takes both production and service to be EPIC! • EPIC Gives Back – Some of our charitable efforts include Donation Connection, Employee Assistance Fund, and People First Foundation • We’re in the top 10 of property/casualty agencies according to 'Insurance Journal'

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