Consultant, Pharmacy Benefits

NFP, an Aon company; Chesterfield (MO); On-site; USD 59,000 - 80,000; Full time

Benefits offered by this job

PTO & paid holidays

401(k) with match

Health & wellness programs

Job summary

NFP Rx Solutions — the pharmacy benefit consulting arm of NFP — is a leading PBM-focused advisory practice in the U.S. We help self-funded employers, health plans, and coalitions optimize pharmacy spend and outcomes through contract negotiation, clinical input, and analytics.

The role emphasizes building robust client relationships, presenting analyses, and delivering insights across multiple client accounts. Travel up to 10% is expected as needed.

Qualifications

• Prefer Bachelor’s degree; Associate’s degree or equivalent from two-year college, minimum.
• Minimum three years of PBM related industry experience.
• Knowledge of the Employee Benefits industry, and PBM specifically.
• Excellent research skills.
• Ability to read, analyze and interpret industry policies and contract documents.
• Ability to respond efficiently and accurately to inquiries from customers or carriers.
• Excellent written and spoken English communication skills.
• HIPAA and other applicable government confidentiality requirements.

Responsibilities

• Develop and maintain effective working relationships between clients, internal teams, and external partners (PBMs, brokers, third parties).
• Understand each client’s business model, goals, pharmacy benefit intent, and forecasted changes.
• Be proficient in the PBM marketplace, including carrier contacts and underwriting requirements.
• Inform leadership of important activities on client accounts.
• Present market reprice analyses, contract terms, and rate dependencies to clients and brokers.
• Research and respond to pharmacy benefit related questions within deadlines.
• Assist in client enrollment meetings and webinars with PBM representation.
• Resolve billing, claim, eligibility, COBRA, and other customer service issues.
• Partner with PBM teams to resolve benefits issues.
• Manage client benefit requests, changes, implementations, new groups and terminations.
• Provide semi-annual pharmacy benefit performance reports with benchmarks and recommendations.

Skills

PBM knowledge

Excellent research

Policy interpretation

Communication

Analytical thinking

Organizational skills

Independence

Prioritization

Education

Bachelor’s degree or equivalent

Tools

MS Excel

MS Word

MS Outlook

PowerPoint

Job description

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.

Posting Description

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.

Position Overview

NFP Rx Solutions — the pharmacy benefit consulting arm of NFP — is one of the largest full-service pharmacy benefit consulting practices in the U.S. We deliver customized Rx solutions to self-funded employers, health plans, and coalition clients, combining contract negotiation, clinical expertise, and advanced analytics to meaningfully reduce pharmacy spend and improve member outcomes.

Principal Duties And Responsibilities / Essential Functions

• Develop and maintain effective working relationships as liaison between clients, internal teams, and external partners, such PBMs, brokers, and other third party staff.
• Understand each assigned client’s business model, organizational structure, business goals, pharmacy benefit intent, and forecasted changes.
• Proficient in the PBM marketplace, including carrier contacts, services, and underwriting requirements.
• Inform leadership of all important activities on client accounts.
• Present to clients and brokers market reprice analyses, contract terms, and rate dependencies.
• Research and respond to pharmacy benefit related questions within deadline requirements.
• Assist in the communication of employee benefits in client enrollment meetings and webinars with the appropriate PBM representation.
• Assist the client in resolving billing, claim, eligibility, COBRA, and other customer service problems.
• Partner with PBM teams to resolve problematic benefits issues.
• Management and execution of client benefit requests, benefit changes, program implementations, new groups, and terminations.
• Provide semi-annual detailed pharmacy benefit performance reports to clients showing client metrics in comparison to industry benchmarks along with recommendations for plan improvement.
• Develop robust client relationships to promote client satisfaction, client retention and additional revenue opportunities.
• Review pharmacy benefit utilization trends and outliers with client on a regular basis.
• Host clients in the VPS office and/or carrier facilities, as needed.
• Prepare and provide ad hoc reports as needed.
• Keep all information on book of business accurate and up to date in the CRM software.
• Monitor client billing and payments, and ensure that proper billing procedures are followed.
• Participate in seminars and classes for continuing education on industry skills and knowledge.
• Assist in the development and maintenance of department resources, job aids, training materials, etc.
• Present a positive image of self and of VPS, in and out of the office, to fellow employees, clients, providers, and the community.
• Participate in special projects as requested.

Minimum Requirements For Education, Experience, And Certifications/Licenses

• Prefer Bachelor’s degree. Associate’s degree or equivalent from two-year college, minimum requirement.
• Minimum three years of PBM related industry experience.

Qualifications & Skills

• Knowledge of the Employee Benefits industry, and PBM specifically
• 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
• 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 initiative, diligence, attention to detail, critical thinking, organizational and decision making skills
• Ability to define problems, collect and analyze data, establish facts, and draw valid conclusions
• 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 PowerPoint
• Professional telephone skills and e-mail etiquette
• Ability to follow company confidentiality requirements as well as with HIPAA and other applicable government regulations

Travel

Ability to travel up to 10% of the time, with occasional overnight trips.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this Job, the employee is regularly required to sit; use hands to handle or feel and talk or hear. The employee is frequently required to reach with hands and arms. The employee is occasionally required to stand and walk. Specific vision abilities required by this job include close vision and distance vision.

NOTE: The information in this job description indicates the general nature and level of work performed by employees in this classification. It is not a comprehensive list of all duties, responsibilities and/or qualifications required of employees assigned to this position.

What We Offer

We're proud to offer a competitive salary, PTO & paid holidays, 401(k) with match, exclusive discount programs, health & wellness programs, and more. Our PeopleFirst culture focuses on building and nurturing lifelong relationships with our employees because, at the end of the day, we exist to be there for others. The base salary range for this position is $58,900 – $80,000. The base salary offered will be determined by factors including, but not limited to, experience, credentials, education, certifications, skill level required for the position, the scope of the position, and geographic location. Actual base salary offered will be determined on a case-by-case basis. In addition to the base salary, this position may be eligible for performance-based incentives.

NFP and You... Better Together!

NFP is an inclusive Equal Employment Opportunity employer.

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