Senior Pharmacy Benefit Consultant, Health Plan

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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

• End to end ownership of client specific business strategy projects. Responsibilities include client relationship management, upfront planning and strategy creation, in-depth research and analysis, thorough execution, and delivery to the client. • Examples of projects include organizational assessments, PBM or vendor contract reviews, process gap analyses, market and landscape analyses, go-to-market strategies, unique clinical or quality initiatives that improve delivery of healthcare • 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. • Delivery of client-specific insights on industry happenings and leveraging PSG’s best-in-class research to provide data-driven insights and recommendations on an ongoing basis • Identify opportunities to engage internal PSG experts on custom projects and analyses. • Responsible for renewal of client relationships and creating strategy, scope of services and appropriate fee structure to match client needs. • Assess opportunity for expanding PSG services within existing client relationships. • Leverage client relationships for PSG prospecting efforts by creating developing client references. • 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. • Lead the development and management of the procurement, market check and request for proposal (RFP) strategy and process for clients including RFP creation, vendor selection meetings and contract execution (in conjunction with internal RFP coordinator). • Participate in non-client RFP processes 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. • Negotiate market leading business terms and conditions on behalf of PSG clients

🎯 Requirements

• Knowledge of PBM, pharmacy and managed care environments (3-5 years minimum experience). • Ability to develop strategies and implement programs for large client Rx and medical benefit programs • Ability to create client-facing written materials and communications using Microsoft Word and PowerPoint • Impeccable organizational skills and ability to work independently • Strong verbal and written communication skills including presentation skills and client relationship management experience; with the ability to adjust your style to suit different perspectives and seniority levels. • Strong financial analysis skills using Microsoft Excel • Pharmacy Benefits or Managed Care work experience with bachelor’s degree; MBA or PharmD/RPh strongly preferred.

🏖️ Benefits

• 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, Cancer 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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