Area Vice President, Medicare, National Pharmacy Practice

Introduction

At Gallagher Benefit Services, you’re a trusted partner to organizations navigating some of their most important people decisions. We help clients build better workplaces, where people feel supported, empowered, and inspired to thrive. Whether it’s shaping benefit strategies, designing wellbeing programs, or advising on workforce challenges, the work you do here creates meaningful change for businesses and the people who power them.

We’re a community of bold explorers, trusted experts, and compassionate partners; working side by side to solve problems, and shape the future of work. Here, curiosity is encouraged, collaboration is second nature, and your ideas have room to grow. If you’re looking for a place where your contribution matters and where you can help build a better world of work;

think of Gallagher.

This position manages key client projects for Medicare Advantage Prescription Drug and Employer Group Waiver Plans. Responsibilities include the accurate development and review for accuracy of Medicare required member materials such as the annual notice of change (ANOC) and evidence of coverage (EOC). In addition to communications, ongoing client management of key clients will be expected.

• Use existing strong understanding of employee benefits regulations, vendor products and capabilities to solve client issues in a timely manner.
• Attend internal training sessions as well as industry related sessions to enhance knowledge and to develop professionally.
• Prioritize responsiveness to Clients, Senior Pharmacy Consultants and Health and Welfare Producers.
• Proactively communicate with Team Members, Clients, Carriers and Vendors
• Material Development: Accurately draft, develop or peer review Medicare-required member materials, including ANOC and EOC, ensuring compliance with CMS guidelines customizing to client requirements. This would include making edits and recommendations based on Medicare rules, creating client specific timelines and back-and-forth customization with our clients to ensure compliance.
• Material Review: Conduct thorough reviews of member materials to verify accuracy, consistency, and adherence to regulatory requirements.
• Project Management: Manage multiple client projects simultaneously, ensuring timely delivery of high-quality materials.
• Compliance Assurance: Stay updated on Medicare regulations and guidelines to ensure all materials meet current standards.
• Client
  
  Collaboration:
  
  Work closely with clients to understand their needs, provide updates, and address any concerns related to member materials.
• Quality Control: Implement quality assurance processes to identify and correct errors in documentation.

• Support Senior pharmacy benefits consultants and producers in client facing activities and revenue generating opportunities
• Maintain technical understanding of pharmacy benefit products and concepts
• Have a strong understanding of current pharmacy benefit trends, conditions and concepts.
• Be capable of reviewing and interpreting CMS marketing requirements, explaining utilization and cost trends to existing or prospective clients.
• Establish and maintain proactive communication with clients/carriers and vendors
• Keep a current awareness of vendors’ products and capabilities
• Keep Senior Pharmacy Consultant informed on matters of importance via written and verbal correspondence
• Advise on and contribute to creation of content for employee communication material specific to required Medicare changes annually to be used by a client regarding employee benefit design and cost if requested
• Respond to all client questions regarding member materials, and facilitate resolution of complex issues in a timely manner as needed
• Stay abreast of all client pharmacy activity, including renewals, market checks, procurement activity and audit opportunities.
• Interface with team members and servicing team on issues relating to the client
• Maintain client files with documentation as required by internal compliance standards
• Participate in special projects as assigned; perform other duties as assigned by management
• Participate in client facing meetings and calls, as needed
• Create member…