Director of Pharmacy Services- Remote

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers.

Piper Jordan is seeking a Director of Pharmacy Services for its growing team!

Piper Jordan is a rapidly growing consulting firm offering state-of-the-art employee benefits solutions to national employers. Entrepreneurial spirit has been a major factor in Piper Jordan’s success.

WHAT YOU’LL DO:

Provide value-added consulting experience on sophisticated pharmacy benefit projects, including:

· Pharmacy benefit plan design and cost savings strategies

· Customized strategies to enable clients to proactively reduce risk and maximize savings

· PBM performance auditing (post-implementation, financial, and operational as appropriate)

· Specialty pharmacy management for retail and medical specialty medications

· Evaluation of on-site pharmacies at client locations

· Contribute pharmacy and related perspectives to broader health and benefits projects including population health and DEI strategies.

· Support the generation of new business by participating in prospecting opportunities with new clients

· Serve as a pharmacy benefit subject matter expert and trusted advisor to clients

· Perform core pharmacist duties including prospective/retrospective drug utilization reviews, comprehensive medication reviews, diabetes programs, and recommendation of changes to a patient’s drug regimen as required

· Effectively collaborate with third parties in the administration of a client’s clinical pharmacy strategy

· Collaborate with the account team to ensure alignment among client culture, expectations, and goals

· Contribute to the design and evolution of technology-enabled processes to create a scalable clinical pharmacy operation

· Stay abreast of pharmacy regulatory standards and ensure that they are met consistently

· Support and facilitate the pharmacy marketing process, including:

• Creation, editing, and management of content to be included in the pharmacy profile and RFP
• Internal recommendation of vendors to be invited to complete profiles
• Recommendation to clients of Tier I and II pharmacy vendors to invite to the RFP process
• Scoring and presentation of results to clients
• Negotiation of terms and rates for PBM services

· Actively support clients in the implementation of new PBM partners or programs

· Support the development and management of the Medical Specialty program

· Work with PBMs to customize formularies to include custom exclusions based on lowest ingredient cost or lowest net cost as applicable/appropriate; provide annual review and revision of client and custom formularies

· Review PBM formularies and post to applicable client microsites

· Review monthly MRC reports and work with the Actuarial team on pharmacy/clinical talking points to be presented in the client report

· Using MRC reports, review wasteful drugs and work with PBMs to understand formulary placement and strategy

· Conduct PBM market checks as needed

· Create and distribute high-cost claimant monitoring reports for designated clients

· Support Account and Actuarial team in the delivery of standard reporting to include high[1]cost claimant, relevant pharmacy news, and pharmacy utilization trends

 WHAT YOU’LL NEED:

 · Clinical licensure (LPN, RN, etc. at minimum)

 · 7+ years’ experience in the design/management of large group pharmacy benefit plans (consulting, brokerage, or carrier/pharmacy benefit manager environment)

 · Expert level knowledge of HIPAA requirements

 · State Life and Health license, or willingness to obtain within 90 days

 · Previous success in managing client issues/relationships

 · Project management experience

 · PharmD or RPh designation, Preferred

 · Excellent written and verbal communication skills

 · Task-oriented, conscientious, ambitious, and self-motivated

 · Ability to set and manage client expectations

 · Ability to strategically plan and set/meet goals

 · Flexibility and proven ability to identify and resolve issues

 · Adaptability to change in the work environment, managing competing demands and frequent     change, delays, or unexpected events

 · Ability to work independently with minimal direction

 · Critical thinking and analytical problem-solving skills

 · Customer-focused attitude

 · Organization, accuracy, and attention to detail

 · Excellent project management skills with the ability to prioritize multiple complex tasks

 · Integrity, judgment, and commitment to maintaining the highest level of confidentiality

 · Ability to make sound, timely decisions that propel the company forward

 · Ability to develop PowerPoint