Account Specialist, Rx Solutions

Posted 2 days ago

aonChesterfield (MO)

Compensation, Benefits, and Job Analysis Specialists Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds

SENIORITY

Senior

SALARY

$53,500

Apply

About the role

Pharmacy Benefit Manager (PBM) ConsultantNFP 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. We are prioritizing local candidates who are excited to collaborate with colleagues through a hybrid in-office schedule.

Responsibilities:

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.
Knowledgeable in the PBM marketplace.
Advise leadership of all important activities on client accounts.
Coordinate market reprice analyses, contract terms, and rate dependencies for internal teams.
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, 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.
Assist director with preparing annual detailed pharmacy benefit performance reports for clients showing client metrics in comparison to industry benchmarks along with recommendations for plan improvement.
Review pharmacy benefit utilization trends and outliers with client as needed.
Keep all information on book of business accurate and up to date in the CRM software.
Supervise client billing and payments, and ensure that proper billing procedures are followed.
Contribute to the development and maintenance of department resources, job aids, training materials, etc.
Required Education, Experience, and Certifications/Licenses:
Prefer Bachelor's degree. Associate's degree or equivalent from two-year college, minimum requirement.
Prefer three years of PBM related industry experience.

Qualifications & Skills:

Knowledge of the Employee Benefits industry, and PBM specifically
Excellent research skills
Ability to read 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
Strong critical thinking, organizational, and decision-making abilities
High degree of diligence and attention to detail
Ability to function independently with minimal direction
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 PowerPointProfessional 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 5% of the time, with occasional overnight trips.

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 People: First 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 $53,500 $70,000. 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.

Before you apply

Applying takes about a minute. These four things decide how fast it moves after that.

Your profile is current

It's what we read first. Occupations, seniority and locations matter more than a long history.

Two examples you can talk through

Not a portfolio — just two pieces of work where you can explain the decisions and what you'd change.

A number in mind

What you're on now and what would make you move. We negotiate better when we know both.

Your notice period

Employers plan around it, and it's the question that stalls offers most often.

Once you apply, someone reads it and calls you before anything reaches the employer — usually within two working days.