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 5