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Job Description:
Job Description:
Accountable for the successful design, delivery, financial management, communication and/or administration of one or more of the health & welfare, work/life and retirement programs for the Bank. Independently evaluates existing product or program cost, effectiveness and usage, and designs recommended improvements.
Position Overview:
The Sr. Benefits Consultant must have the ability to independently analyze data, market trends and business needs to evaluate cost effectiveness and implementation of existing programs to design recommended improvements and develop program business cases of new programs. The role requires subject matter expertise in the design, implementation, and management of pharmacy benefits programs at large employers. Experience managing multiple work products simultaneously, strong communication skills, and ability to identify and work with multiple key stakeholders is critical.
Benefits Design point of contact for designing, managing and implementing pharmacy benefits
Manage and oversee all third parties and strategies to ensure program design and business objectives are being met.
Responsible assessing ongoing regulatory changes and how they impact pharmacy benefit offerings.
Partner with multiple suppliers and internal partners (Benefits Service Delivery, Life Event Services, Legal, Communications, Finance, Sourcing, HR Reporting teams, HR leaders, etc.) to ensure pharmacy programs are delivered flawlessly to our teammates.
Responsibilities:
Partner with multiple third-party service providers, platform administrator, Health & Insurance carriers as well as internal partners (Benefits Service Delivery, Life Event Services, Legal, Communications, Finance, Sourcing, HR Reporting teams, HR leaders, etc.) to ensure processes and services are delivered flawlessly to our teammates.
Evaluate market trends and emerging products and approaches to drive pharmacy benefits.
Ability to understand, translate and apply data analysis and market trends in the development of business cases to solve existing or emerging opportunities.
Develop business cases to present to key stakeholders.
Partner across multiple teams to ensure impacts, compliance requirements, business needs, and employee experience are identified in all program design recommendations.
Ensure required regulations, and compliance activities being executed.
Participation with vendor audits, claims reviews, annual meetings, development of business requirement documents and employee engagement approaches.
Ability to understand, translate and apply changing legal and regulatory environment impacting programs.
Required Qualifications:
Minimum 7-10 years’ of Health Care Benefits and related Pharmacy experience either through Consulting, Brokerage, Insurance companies or employer. Ideally 3+ years of delivery experience of pharmacy benefits for a large organization.
Experience with pharmacy market checks, annual audits, and program optimization
Depth and knowledge of pharmacy benefit industry, market shifts and complex dynamics
Must have excellent oral & written communication skills; ability to articulate complex concepts to a non-specialist audience.
Ability to demonstrate facilitation, client service orientation, leadership, influence, teamwork, and collaboration across multiple different partners, both internal and external.
Strong vendor relationship experience.
Strong data analysis, used to help with industry benchmarking and build/develop business cases.
Strong oral & written communication skills; ability to articulate complex concepts to a non-specialist audience.
Highly organized with ability to drive many competing priorities and multiple tasks concurrently.
Strong task management skills, including the ability to prioritize work and meet deadlines.
A team player who thinks and acts cross-functions, proactive and focused on continuous improvement.
A problem solver with a “can do” attitude, consultative approach, and client service mentality.
Acts with a sense of urgency and drives issues through to completion.
Demonstrates a sense of commitment to work and willingly assumes responsibility for accomplishing objectives.
Individual should be self-starter and highly proficient with Microsoft Office products especially skilled in PowerPoint and excel.
Demonstrated ability to work/navigate in a complex, matrixed work environment.
Desired Qualifications:
Experience with Pharmaceutical strategy for large organizations.
Experience working with and managing outsourced services.
Experience ensuring communication and engagement strategies are designed and executed to drive member engagement.
Skills:
Analytical Thinking
Benefits Plan Development
Data and Trend Analysis
Prioritization
Reporting
Attention to Detail
Benchmarking
Emotional Intelligence
Innovative Thinking
Strategic Thinking
Business Case Analysis
Collaboration
Influence
Process Design
Risk Management
High School Diploma / GED / Secondary School or equivalent
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