Director, Consulting

Who We Are:   
NFP, an Aon company, is a multiple Best Places to Work award winner in Business Insurance. We are an organization of consultative advisors and problem solvers. We help companies and individuals around the globe address their most significant risk, workforce, wealth management and retirement challenges through custom solutions and a people-first approach. To learn more, please visit: https://www.NFP.com.

The Director position is a leadership role and a critical member of the Valued Pharmacy Services (VPS) consulting team. This role has strategic pharmacy consultants as direct reports and maintains a unique book of business. The Director supports employer benefit brokers and assumes complete responsibility for maintaining a positive relationship between VPS and our external stakeholders. This role coordinates VPS services with clients, while advocating for their interests with providers, and serving as liaison to other internal and external partners. The Director also plays a major advisory role, by providing consultation regarding Pharmacy Benefits Management (PBM) industry fundamentals, clinical opportunities, emerging trends, and best practices. This position is also responsible for the education of the internal staff to advance VPS’ efforts to increase market share by providing innovative, and cost-effective benefit designs that help maximize the client’s effort to provide an affordable pharmacy benefit while minimizing disruption to their employees.

Principal Duties and Responsibilities / Essential Functions:
1. Develop and maintain effective working relationships in a strategic liaison role between VPS and internal and external partners, such PBMs, brokers, clients, and other staff.
2. Share clinical insights and clinical program recommendations with external stakeholders
3. Demonstrate knowledge and understanding of team’s book of business; including business model, organizational structure, and current news and/or changes.
4. Proficiency in the VPS and PBM marketplace, including carrier contacts, services, and underwriting requirements.
5. Update Vice President on all critical activities within the team’s book of business.
6. Present and explain financial proposals, contracts, benefit designs, and pricing to stakeholders; research and answer questions posed.
7. Ensure accuracy and quality of contracts, claims processing, benefit design audits, and financial reports.
8. Represent company as a clinical pharmacy benefit subject matter expert at conferences which may include public speaking events
9. Assist in the communication of employee benefits in enrollment webinars with PBM partners.
10. Mediate between client, brokers, and PBM partners to independently resolve service problems. Specifically, assist in resolving billing, claim, eligibility, COBRA, and customer service issues.
11. Collaborate with internal and external stakeholders to manage benefit implementations.
12. Preparation of work orders, high-quality implementation, reporting, and auditing of book of business.
13. Relationship building with external stakeholders; establish and promote goodwill with VPS.
14. Host clients at VPS office and/or carrier facilities, as needed.
15. Prepare reports deemed necessary by the Vice President and/or broker.
16. Maintain the Zoho CRM software or any other client management software that is introduced in the future.
17. Communicate billing procedures to clients; monitor billing and payments and ensure that proper billing procedures are followed.
18. Meet or exceed departmental goals established by the VP.
19. Keep industry skills and knowledge current by participating in seminars and classes for continuing education.
20. Assist with the development of job aids, and training materials.
21. Present a positive image of self and of VPS, in and out of the office, to fellow employees, clients, providers, and the community.
22. Conduct special projects at the request of the Vice President.

Minimum Requirements for Education, Experience, and Certifications/Licenses:
• Licensed pharmacist in any state. Preferably a PharmD.
• Prefer 5+ years’ experience in leading teams, clinical consulting, and analysis of pharmaceutical products and/or clinical programs. Preferably with a PBM or Health System.

Qualifications & Skills:
1. Thorough knowledge of the Employee Benefits industry, and PBM specifically
2. Advanced knowledge in pharmaceutical clinical review practices
3. Excellent research skills
4. Ability to read, analyze and interpret industry policies, contracts, proposals, and other documentation
5. Excellent oral and written communication skills and command of the English language
6. Ability to apply basic mathematical concepts such as percentages, adding, subtracting, multiplyin