Pharmacy Benefits Strategy Consultant

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

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.