Clinical Pharmacy Benefit Consultant

Responsibilities

• Serve as a valued member of Valued Pharmacy Services (VPS)
• Support the pharmacy benefit consulting team through all phases of the business
• Provide clinical assessments of assigned clients’ plan performance, identifying plan utilization trends or concerns
• Provide comprehensive clinical recommendations for the plan to help reduce plan cost while optimizing member health outcomes
• Coordinate VPS services to assigned clients
• Represent the clients’ interests with the providers
• Serve as the clients’ liaison to providers and other internal and external partners
• Provide client consultation regarding clinical opportunities, emerging trends, and best practices
• Assist in the education of the internal staff to advance VPS’ efforts to increase value by providing innovative cost‑effective solutions
• Prepare reports deemed necessary by the leadership and/or broker
• Keep all information on accounts accurate and up to date in the Zoho CRM software or any other client management software that may be introduced in the future
• Meet or exceed departmental goals established by leadership
• Keep industry skills and knowledge current by participating in seminars and classes for continuing education
• Conduct special projects at the request of the leadership
• Perform related and/or other duties as assigned

• Licensed pharmacist in any state
• Preferably a PharmD
• Prefer 2+ years’ experience in clinical consulting
• Preferably with a PBM or Health System
• Understanding of the Employee Benefits industry, and PBM specifically
• Knowledge in pharmaceutical clinical review practices
• Excellent research skills
• Ability to read, analyze and interpret industry policies and contract documents, as well as proposals and other documentation and correspondence
• Ability to respond efficiently and accurately to common inquiries or complaints from customers or carrier
• Ability to effectively present information to insured clients and their respective carriers
• Ability to create effective clinical programs for clients
• Excellent oral and written communication skills and command of the English language
• Ability to apply basic mathematical concepts such as percentages, adding, subtracting, multiplying and division to required tasks
• High degree of critical thinking, organizational and decision making skills
• Ability to define problems, collect and analyze data, establish facts, and draw valid conclusions
• High degree of initiative
• High degree attention to detail
• Ability to function independently with minimal supervision
• Ability to prioritize multiple projects and meet objectives and deadlines established by supervisor and clients, often with short turnaround times
• Ability to maintain positive and beneficial relationships with department staff, numerous internal departments, external customers, agents, and subscribers
• Proficient in MS Excel, Word, Outlook, and Power Point
• Professional telephone skills and e‑mail etiquette
• Ability to comply with company confidentiality requirements as well as with HIPAA and other applicable government regulations.