Talent.com
Pharmacy Benefit Consultant
Pharmacy Benefit ConsultantHighmark Health • Frankfort, KY, US
Pharmacy Benefit Consultant

Pharmacy Benefit Consultant

Highmark Health • Frankfort, KY, US
job_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

Overview

Company : Highmark Inc.

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 50 pounds

Rarely

Disclaimer : The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.

Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Pay Range Minimum : $78,900.00

Pay Range Maximum : $147,500.00

Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.

For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

Req ID : J268380

J-18808-Ljbffr

serp_jobs.job_alerts.create_a_job

Consultant Pharmacy Consultant • Frankfort, KY, US

Job_description.internal_linking.related_jobs
Licensed Mental Health Therapist (LPCC / LCSW / LMFT)

Licensed Mental Health Therapist (LPCC / LCSW / LMFT)

LifeStance Health • Perry Park, KY, US
serp_jobs.job_card.full_time
At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is to help people lead healthier, more fulfilling lives...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Licensed Marriage & Family Therapist (LMFT)

Licensed Marriage & Family Therapist (LMFT)

LifeStance Health • Waddy, KY, US
serp_jobs.job_card.full_time
At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is to help people lead healthier, more fulfilling lives...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Remote Health Consultant

Remote Health Consultant

VirtualVocations • Lexington, Kentucky, United States
serp_jobs.filters.remote
serp_jobs.job_card.full_time
A company is looking for a Remote Health Consultant.Key Responsibilities Handle daily client interactions via various communication channels with professionalism Manage appointment scheduling, r...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Medicare Authorization Representative

Medicare Authorization Representative

VirtualVocations • Lexington, Kentucky, United States
serp_jobs.job_card.full_time
A company is looking for a Representative II.Key Responsibilities Utilize multiple software systems to complete Medicare Prior Authorization case reviews Meet or exceed government mandated timel...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Mental Health Therapist

Mental Health Therapist

SonderMind Careers • Taylorsville, KY, US
serp_jobs.job_card.full_time
SonderMind is a leading mental health care platform revolutionizing therapy services by empowering licensed mental health therapists to deliver exceptional care with cutting-edge, AI-powered tools....serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Enrollment Eligibility Representative

Enrollment Eligibility Representative

UnitedHealth Group • Lexington, KY, United States
serp_jobs.job_card.full_time
Our office is located at 230 LEXINGTON GREEN, Suite 400, Lexington, KY 40503.TPA) solution, is the nation's largest TPA.In providing consumer - oriented health benefit plans to millions of people; ...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Provider Success Specialist

Provider Success Specialist

VirtualVocations • Lexington, Kentucky, United States
serp_jobs.job_card.full_time
A company is looking for a Provider Success Specialist responsible for supporting provider relationships and ensuring quality service delivery. Key Responsibilities Assist newly approved providers...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Benefits Manager

Benefits Manager

VirtualVocations • Lexington, Kentucky, United States
serp_jobs.job_card.full_time
A company is looking for a Benefits Manager to lead their global benefits and leave programs.Key Responsibilities Design, implement, and manage health and specialized benefit programs across mult...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Coordination of Benefits Associate

Coordination of Benefits Associate

VirtualVocations • Lexington, Kentucky, United States
serp_jobs.job_card.full_time
A company is looking for an Associate, Payment Integrity COB to join their Payment Integrity team.Key Responsibilities Provide subject matter expertise on Payment Integrity claims processing and ...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Remote Pharmacy Insurance Specialist

Remote Pharmacy Insurance Specialist

VirtualVocations • Lexington, Kentucky, United States
serp_jobs.filters.remote
serp_jobs.job_card.full_time
A company is looking for a Remote Pharmacy Insurance Verification Specialist.Key Responsibilities Assist patients with obtaining coverage for prescription medications Make inbound / outbound calls...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Travel Physical Therapist

Travel Physical Therapist

Medical Solutions Allied • Lawrenceburg, KY, US
serp_jobs.job_card.full_time
Medical Solutions Allied is seeking a travel Physical Therapist for a travel job in Lawrenceburg, Kentucky.Job Description & Requirements. We’re seeking talented healthcare professionals w...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Pharmacy Tech

Pharmacy Tech

Encompass Health • Midway, KY, US
serp_jobs.job_card.full_time +1
Cardinal Hill Rehabilitation Hospital.Pharmacy Technician Career Opportunity.Valued for your skills as a Pharmacy Tech.Are you a skilled Pharmacy Technician looking for a meaningful career that ali...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Maryland Licensed Client Advocate

Maryland Licensed Client Advocate

VirtualVocations • Lexington, Kentucky, United States
serp_jobs.job_card.full_time
A company is looking for an Employee Benefits Client Advocate to support their Employee Benefits team by guiding clients through benefit plans and resolving inquiries. Key Responsibilities Respond...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Licensed Employee Benefits Advocate

Licensed Employee Benefits Advocate

VirtualVocations • Lexington, Kentucky, United States
serp_jobs.job_card.full_time
A company is looking for a Licensed Employee Benefits Advocate to support clients with employee benefit enrollment remotely. Key Responsibilities Answer inbound calls and respond to inquiries rega...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Financial Benefits Consultant (FINRA Licensed)

Financial Benefits Consultant (FINRA Licensed)

VirtualVocations • Lexington, Kentucky, United States
serp_jobs.job_card.full_time
A company is looking for a Financial Benefits Consultant to assist clients in achieving their financial wellness goals.Key Responsibilities Build and maintain strong relationships with high-incom...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Remote VP Client Consulting

Remote VP Client Consulting

VirtualVocations • Lexington, Kentucky, United States
serp_jobs.filters.remote
serp_jobs.job_card.full_time
A company is looking for a VP Client Consulting to work remotely from anywhere in the U.Key Responsibilities Understand client business objectives and conduct regular advisory meetings to ensure ...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Travel Physical Therapist (PT)

Travel Physical Therapist (PT)

Fusion Medical Staffing • Lawrenceburg, KY, US
serp_jobs.job_card.full_time
Travel Physical Therapist (PT).Facility in Lawrenceburg, Kentucky.Fusion Medical Staffing is seeking a skilled Physical Therapist for a 13-week travel assignment in Lawrenceburg, Kentucky.As a memb...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Benefits Analyst

Benefits Analyst

VirtualVocations • Lexington, Kentucky, United States
serp_jobs.job_card.full_time
A company is looking for a Benefits Analyst (Remote).Key Responsibilities Administers leave programs and serves as a liaison between vendors and employees regarding eligibility and coverage Acts...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted