Strategic Account Executive – Healthcare Markets, PBM

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RxBenefits, Inc.

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1995

⚕️ Healthcare Insurance

💳 Fintech

🤝 B2B

💰 Private Equity Round on 2020-12

Healthcare Insurance • Fintech • B2B

RxBenefits, Inc. is a company that specializes in providing innovative pharmacy benefits solutions to employers and their employees. They focus on optimizing the management of prescription drug plans to reduce costs and improve health outcomes. Through advanced analytics and personalized member support, RxBenefits aims to transform the pharmacy benefits experience for their clients.

📋 Description

• Client Consultation Builds and grows relationships with brokers and clients by offering strategic solutions to hospital pharmacy challenges. • Performs proactive utilization and trend analysis to identify solutions that assist in managing and reducing drug spend. • Plays major advisory role by providing client consultation on RxBenefits and/or PBM services and products. • Creates plan design strategies that effectively align with the goals of the HR, finance, and the pharmacy teams. • Builds collaborative partnership with broker consultant and hospital (tribal) staff to promote maximization of in-house pharmacy capabilities. • Client and Industry Awareness Responsible for understanding the client's organization and key contacts, products/services and client initiatives. • Ongoing awareness of hospital (tribal) landscape and in-house pharmacy. • Understanding of 340B and the overall impacts on the entity. • Interdepartmental communication Accountable for accurate and timely preparation of client deliverables; assists in new client onboarding, facilitates in-house pharmacy set up for new and existing clients, initiates requests for benefit plan changes, produces the expected monthly and quarterly reports. • Job Duties Include: Participates in ongoing educational events for skill and knowledge development. Attends ongoing training specific to in-house pharmacy processes and procedures. Develops and maintains effective working relationships in a consultative role with service partner contacts (such as analysts, underwriters, brokers & consultants, PBMs, sales and service representatives) and client HR & in-house pharmacy contacts. Partners with client onboarding team for new client implementations Facilitates in-house set up discussions, complete necessary set-up form and review with client/IHP. Facilitates new client deliverables: benefit welcome kits, member communications, and open enrollment deliverables in conjunction with internal client onboarding. Prepares and obtains employee materials and presents employee benefits via webinars or in face-to-face enrollment meetings. Effectively communicates with internal key stakeholders while keeping them fully informed of all important activities on client accounts. Performs Quality Checks of service agreements, claims processing, benefit designs, financial reports, etc. Specializes in effective practices to meet in-house pharmacy objectives. Acts as liaison in conjunction with pharmacy benefit operations, between client, client in-house pharmacy team, brokers and PBM companies to independently resolve all service problems. Specifically, assist the client in resolving billing, claim, eligibility, COBRA and customer service problems. Devises strategies and recommendations for clients in regard to cost containment solutions. Facilitate benefit change forms, member impact and communications in conjunction with benefit change teams. Conducts frequent client and broker consultant discussions and meetings regarding expectations and progress toward client goals. Prepares reports deemed necessary by the Director, Strategic Markets, broker consultant and client. Keeps all information on accounts accurate and up to date. Communicates RxBenefits "Our Value-Added Service" to our clients. Meets or exceeds departmental goals established by the Director, Strategic Markets Assists with keeping department materials, contacts, intranet, etc. up to date. Assists with the development of job aids, training materials, etc. Presents a positive image in and out of the office to fellow employees, members, providers, and the community.

🎯 Requirements

• Bachelor’s degree required. • 5+ years in a similar role with experience in a related industry which includes PBM, pharmacy consulting, pharmacy, hospital/healthcare. • Professional experience with 340B and/or GPO fee schedules. • Professional experience supporting hospital personnel and in-house pharmacies. • Proficient in Microsoft Office (Word, Excel, PowerPoint, Outlook). • Possesses a deep knowledge of marketplace; carriers, underwriting requirements & the benefits/services they offer. • Must have a thorough knowledge of Employee Benefits insurance with an ability to read, analyze and interpret industry policies and contract documents. • Shows excellent presentation and communication skills. • Displays strong analytical and critical thinking skills. • Organizational skills and the ability to prioritize in a dynamic environment is critical. • Person must be self-motivated with the ability to work independently with limited supervision or within a group or team.

🏖️ Benefits

• Remote first work environment • Choice of a HDHP or PPO Medical plan, we pay 100% of the premium for the HDHP for you and your eligible family members • Dental, Vision, Short- and Long-Term Disability, and Group Life Insurance that we also pay 100% of premiums (for your family too on Dental and Vision) • Additional buy-up options for Short- and Long-Term Disability and Life Insurance • 401(k) with an employer match up to 3.5% available after 60 days • Community Service Day to give back and support what you love in your community • 10 company holidays including MLK Day, Juneteenth, and the day after Thanksgiving plus a floating holiday to use as you like • Reimbursements for high-speed internet, we’ll send you a computer and monitors to help you do your best work • Tuition Reimbursement for accredited degree programs • Paid New Parent Leave that can be used for adoption or birth • Pet insurance to protect your furbabies • A robust mental health benefit and EAP service through Spring Health to support you when you need it most