The Clinical Account Director will be responsible for nurturing high-level strategic client relationships, effectively collaborating with various levels of internal and external leadership to drive a mutually beneficial partnership. This role requires a strong background in pharmacy combined with exceptional business acumen to effectively oversee the development and execution of tailored solutions that meet client needs. The Director is ultimately responsible for a pharmacy benefits relationship that meets client intent for access, service and affordability, while ensuring RxBenefits' goals of the partnership are met. They will leverage their expertise as a pharmacist to provide insightful, evidence-based recommendations, foster long-term partnerships, and drive client satisfaction and retention. This position is ideal for an experienced professional who thrives in a pivotal role and is passionate about enhancing client relationships through strategic, data-driven decision-making. This position may work remotely or in our Birmingham, AL headquarters, and requires up to 25% travel. **THIS JOB REQUIRES A LICENSED PHARMACIST.**
_Essential Job Responsibilities Include:_
+ Serves as the primary advisor on RxBenefits and/or PBM services and products, providing recommendations as appropriate.
+ Primarily responsible for client contract life cycle, including responsibility for negotiating renewal and ensuring contractual obligations are met by both RxBenefits and the client.
+ Operates with a high degree of autonomy, effectively navigating internal channels to quickly address client challenges and unique strategic needs.
+ Efficiently and effectively escalates to Leadership when needed.
+ Ensures that RxBenefits' service levels are generating high overall client satisfaction, increasing likelihood of contract renewal.
+ Fosters collaborative relationship with RxBenefits PBM Relations team to ensure client's unique needs are met.
+ Regularly provides in-depth evaluation to client regarding factors affecting drug trend.
+ Maintains awareness of drug pipeline and proactively consults broker/client on appropriate drug category management approaches.
+ Proactively consults broker/client on recommended benefit design and formulary approaches.
+ Ensures modeling and reporting are sufficient to support broker/client needs and decision-making.
+ Maintains a deep understanding of the client's organizational structure, culture and goals.
+ Establishes a trusting relationship and promotes goodwill with client and broker via repeated transparent and consultative engagements.
+ Proactively engages broker/client on both value-add solutions and any potential challenges/issues.
+ Partners with Account Manager to ensure benefit changes are executed in alignment with client intent.
+ Maintain in-depth knowledge of the PBM marketplace; state/regional legal requirements impacting client's benefits, carriers, underwriting requirements, and benefit/service/product offerings.
+ Preparation of reports deemed necessary by Account Management leadership.
+ Maintain accurate information on all assigned client accounts.
+ Provide support to Account Manager, when needed, as they act as liaison in conjunction with Pharmacy Operations, client, brokers and PBM companies to resolve all service problems.
+ Meet or exceed departmental goals established by the Senior Vice President -Account Management.
+ Present a positive image in and out of the office to fellow employees, members, providers, and the community.
+ Collaborate with other departments to develop strategic recommendations for assigned clients based on individual client needs.
+ Foster teamwork and a supportive departmental culture with a can-do attitude to provide exceptional service to broker and client.
+ May be asked to lead team members through new processes, change management, and facilitate team calls as needed.
+ Assists leadership with the goal of improving account retention and achieving key performance indicator standards.
+ Other duties as assigned.
_Required Skills / Experience:_
+ 8+ years of combined Account Management and Clinical Pharmacist experience.
+ Current Pharmacist license in good standing (any state).
+ Pharmacy industry experience required.
+ Effectively navigates communication with senior leaders internally and externally.
+ Oversight and renewal of client contracts.
+ Proficient in Microsoft Office (Word, Excel, PowerPoint, Outlook).
+ Thorough knowledge of Employee Benefits insurance and PBM industry.
+ Excellent presentation and communication skills.
+ Strong analytical and critical thinking skills.
+ Strong organizational skills with the ability to prioritize in a dynamic environment.
+ Self-motivated with the ability to work independently with limited supervision or within a group or team.
RxBenefits provides equal opportunities for everyone who works for us and everyone who applies to join our team, without regard to sex or gender, gender identity, gender expression, age, race, religious creed, color, national origin, ancestry, pregnancy, physical or mental disability, medical condition, genetic information, marital status, sexual orientation, any service, past, present, or future, in the uniformed services of the United States (military or veteran status), or any other consideration protected by federal, state, or local law.
$94k-134k yearly est. 60d+ ago
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Bilingual Human Resources Administrator
Nebraska Furniture Mart, Inc. 4.6
Omaha, NE jobs
Pay Range: $18.77 - 22.80 hourly Job Description: Your Piece of the Puzzle Our HR team is one of the first points of contact from NFM Family that applicants have before they begin their career. Our Bilingual HR Administrator is our receptionist and assists with the new hire process, including orientation, onboarding, recording keeping and other support duties. Making a positive first impression and the ability to focus on the details is a must. This is an onsite position with the schedule being Monday - Friday 8:30am - 5:30pm, however, there is an option to work from home on Fridays.
Job Duties: A Day in the Life
Be Positive: Be a go-getter! Make a positive first impression with callers and visitors in the HR lobby
Set the Stage: Administer employment tests, schedule meetings, distribute paperwork and other projects as assigned
Prepare: Create job requisitions, close job requisitions, maintain new hire spreadsheets, ensure all documentation is digitally filed accurately
Collaborate: Work with recruiters to monitor employment contingencies - following up with new hires to provide assistance as needed
Review: Ensure hiring paperwork is completed accurately and on-time
Assist: Set up and conduct portions of New Hire Orientation
Your work will directly impact our ability to help people create a lifestyle they love, for the people they love-because that's what we love.
Qualifications: Can You Check These Boxes?
HS diploma/GED preferred
3 years office, clerical or receptionist experience required
Bilingual in English and Spanish required
Ability to enter data quickly and accurately required
Knowledge of HRIS preferred
Basic computer skills plus knowledge of Microsoft Office products (Word, Excel, PowerPoint, Access) required
Ability to navigate the internet required
Ability to work night, weekend and/or early morning hours based on business needs
Pre-employment screening includes, but isn't limited to, criminal background check
$18.8-22.8 hourly 6d ago
Senior Software Development Manager
Nebraska Furniture Mart, Inc. 4.6
Omaha, NE jobs
Pay Range: $103,944- 167,382 annually Job Description: Your Piece of the Puzzle As a Senior Software Development Manager at NFM you will manage the development and maintenance of applications software systems which are used to support any/all aspects of NFM's business. Supervise the workflow and performance of the Applications Software Development Team through subordinate managers and supervisors. Provide strategic input regarding NFM's technology vision and roadmap. This is a remote position requiring the candidate to reside in NE, IA, MO, KS or TX. Final candidates will be required to come on-site prior to receiving an offer or on their first day of employment.
Job Duties: A Day in the Life
Lead: Coach, train, recruit, hire and support staff while providing regular feedback and recognition
Manage: Set performance objectives, develop skills, hold staff accountable for goals, develop improvement plans as needed, and provided development planning
Support: Monitor project status and direct adjustments as needed to achieve project objectives
Analyze: Research Retail Industry best practices and best practices for project/software development methodologies
Create: Provide strategic, forward-looking vision when designing solutions to maintain, expand, and delivery of application development goals and objectives
Collaborate: Provide day to day thought management of complex application project management, implementation, and/or best practice issues surrounding ERP, Sharepoint, Mobile, JDE and Windows development teams
Your work will directly impact our ability to help people create a lifestyle they love, for the people they love-because that's what we love.
Qualifications: Can You Check These Boxes?
Bachelor's degree in Information Systems, related field or equivalent experience required
8+ years of software development experience required
4+ years of management or supervisory experience required
2+ years as a project leader on multiple projects and projects of medium or greater size, complexity and impact required
Strong problem solving/analytical skills - demonstrated ability to lead problem solving efforts
Comprehensive knowledge of the software development process and methodology, and the demonstrated ability to apply to completion of difficult assignments
Ability to accomplish difficult tasks and make decisions with minimal supervision/review by others
Project leadership skills - demonstrated ability to lead projects that are large in size, complexity and impact
Demonstrated ability to develop project plans
Demonstrated ability to manage multiple development activities simultaneously
Supervision skills - demonstrated ability to lead and direct staff for projects assigned
Ability to provide training / direction to less experienced staff
Internet software; Spreadsheet software and Word Processing software proficiency required
Demonstrated ability to use Microsoft Project for the development of project plans
Available to provide on-call support 24 hours per day, 7 days a week as needed
Ability to work night, weekend and/or early morning hours based on business needs
Applicants must be currently authorized to work in the USA on a full-time basis. NFM will not sponsor applicants for work visas for this position
Pre-employment screening includes, but isn't limited to, criminal background check
#LI-REMOTE
$103.9k-167.4k yearly 25d ago
Strategic Pharmacy Analyst
Rxbenefits 4.5
Omaha, NE jobs
RxBenefits is hiring! We are adding a Strategic Pharmacy Analyst to our growing Business Development team. The Analyst will work closely with our Business Development team to achieve sales goals. The Analyst may work remotely or in our Birmingham, AL headquarters.
The enhanced Strategic Pharmacy Analyst (SPA) team will expand and deepen the relationship between the Business Development (BD) team, the SPAs, and our Employee Benefit Consultants (EBC). The SPA will be assigned to support two Business Development Executives and their assigned Employee Benefit Consultants. The SPA is responsible for all activities related to supporting the sales process once an analysis is verified to be correct and released.
Job Responsibilities Include:
+ Operate as the central project manager for the business on new opportunity prospects, playing a pivotal role in connecting Brokers, BDEs, Implementation, AM, Legal, Pricing and Analytics, Finance, Marketing, Product Team, SLT, and ELT in support of closing new business.
+ Manage the life cycle of Financial Analyses, RFPs, Comp Analyses, Patient Assistance Programs (PAP) Reports, and/or additional presentation documents for multiple BD partners and Brokers with a multitude of changing variables, reporting needs, communication styles, and marketing agreements.
+ Lead multiple small teams with RxBenefits BDEs and Financial Analysts to manage each new opportunity project from beginning to closed status employing high level soft skills, a proactive mindset, and ensuring the results are communicated with the highest impact externally.
+ Validate differing types of datasets from dozens of medical vendors and dozens of PBMs to ensure it meets the requirements for our comprehensive financial and clinical modeling.
+ In coordination with small teams, ensure the timely delivery of accurate, group specific Financial Analyses, PAP Reports, Clinical FAES, and/or additional reporting/documentation.
+ Be the SME on the repricing process, results, and applicability to our modeling inclusive of discount guarantees, discount schedules, channel management, B/G classifications, specialty designations, rebate eligibility, utilization trend, Utilization Management (UM) implications, Manufacturer Copay Assistance Programs (MCAP), PAP, and clinical appropriateness in alignment with RxBenefits and PBM partner products.
+ Be the SME on the formulary disruption process, results, and applicability to our modeling inclusive of the incumbent designations, network disruption, RxBenefits designations, formulary exclusion impact, member impact, and formulary alternatives in connection with new prospect benefit plan designs.
+ Be the SME on hundreds of RxBenefits pricing schemes and their applicability based on pricing models, formulary options, retail networks, maintenance program selections, specialty networks, fees, plan tier structure, new prospect member size, marketing agreements, broker commissions, and drug utilization.
+ Be the SME on dozens of medical vendor/PBM contracts including utilization rules, B/G classification, discount applicability, rebate/fee credit applicability, contract term penalties, discount/rebate exclusions, UM terms, MCAP products, PAP, third party specialty arrangements, and their applicability on our modeling.
+ Apply knowledge gained from repricing, formulary disruption, contract language, group size, claim utilization, clinical trend, and appropriate pricing scheme to deliver a custom RxBenefits Financial Analysis for every new opportunity prospect.
+ Maintain flexibility with constantly changing RxBenefits PBM drug lists and the effects this has on formulary tier changes, specialty designations, LDD designations, UM components, clinical outcomes, and MCAP outcomes and their relation to specific financial, clinical, and member impacts for new opportunities.
+ Maintain the resources needed to apply pricing, commission structures, and properly branded reporting for dozens of broker partners with custom level service from RxBenefits.
+ Produce ad hoc reporting for BD, Brokers, and various RxBenefits team members using advanced Microsoft Excel skills (vlookups, pivot tables, etc.) to answer a broad range of questions around reprice, disruption, and member impacts for new opportunities with varying degrees of urgency to close business.
+ Become the SME on new RxBenefits Product offerings in a detailed level to communicate the impacts on new prospect opportunities to BD teammates and Broker clients.
+ Help prepare BDEs for finalist presentations and work with marketing on presentations.
+ Become comfortable and ready to present Financial Analyses and associated GTM documents with ease and a delivery that exudes confidence around pricing, UM caveats, Clinical Products, and formulary disruption down to the single claim detail.
+ Own and manage the new opportunity SalesForce (SFDC) life cycle from the analyze stage through the coordinated hand-off of closed won groups including the broker account, employer account, group plan, SOLD form, required attachments, and all the fields needed to create a smooth transition for the group as a new employer client.
+ Employ expert use of SFDC reporting and dashboards to manage new opportunities through the sales pipeline, provide ad hoc connectivity information for BD and brokers, and ensure the new prospect opportunity URL contains all group information as the central location for multiple RxBenefits departments.
+ Work with the BD team to update SFDC and key activity metrics for their assigned territories.
+ Responsible for transitioning closed won groups into a client record for Account Management (AM) and Implementation including the initial gathering of information for the Implementation team. These responsibilities may extend further into the implementation process.
+ Help prepare BDEs for each finalist meeting and work with marketing on presentations when appropriate.
_Key Success Measures:_
+ Business Development Team's performance against sales metrics.
+ Ensure the accuracy of delivered Financial Analyses.
+ Facilitate Financial Analysis review calls with EBC.
+ Manage pricing refreshes for prior opportunities.
+ Contribute heavily toward the addition of new business.
+ Work closely with RFP proposal writer to ensure the accurate and timely delivery of RFPs.
+ Manage EBC follow-up needs during sales process.
+ Production of materials for finalist meetings.
+ Accuracy and updating of SFDC.
+ Production of implementation packages for new business.
_Required Skills / Experience Include:_
+ 3+ years of experience using Excel for data analytics (vlookups, pivot tables, file merging, etc.)
+ 2+ years of financial modeling experience.
+ Pharmacy industry analytics experience required.
+ Four-year college degree from an accredited institution.
+ Excellent communication and relationship building skills required.
+ Strong analytical and organizational skills required.
+ SFDC or Other CRM experience required.
_Based on relevant market data and other factors, the anticipated hiring range for this role is $62,400 - $79,000 annually. Final compensation rates will be determined based on various factors, including but not limited to experience, skills, knowledge, and internal equity considerations. This role is also short-term incentive eligible. Incentive amounts will vary by individual and business goals._
_We are committed to fair and equitable compensation practices. The final salary offered to the selected candidate may vary from the posted range due to individual qualifications. Our goal is to ensure that all teammates are compensated fairly and competitively based on their contributions to our organization._
_RxBenefits is also committed to providing best in class benefits to our teammates. We offer a robust total rewards package that includes:_
+ _Remote first work environment_
+ _Choice of a HDHP or PPO Medical plan, we pay 100% of the premium for the HDHP for you and your eligible family members_
+ _Dental, Vision, Short- and Long-Term Disability, and Group Life Insurance that we also pay 100% of premiums (for your family too on Dental and Vision)_
+ _Additional buy-up options for Short- and Long-Term Disability and Life Insurance_
+ _401(k) with an employer match up to 3.5% available after 60 days_
+ _Community Service Day to give back and support what you love in your community_
+ _10 company holidays including MLK Day, Juneteenth, and the day after Thanksgiving plus a floating holiday to use as you like_
+ _Reimbursements for high-speed internet, we'll send you a computer and monitors to help you do your best work_
+ _Tuition Reimbursement for accredited degree programs_
+ _Paid New Parent Leave that can be used for adoption or birth_
+ _Pet insurance to protect your furbabies_
+ _A robust mental health benefit and EAP service through Spring Health to support you when you need it mos_ _t_
RxBenefits provides equal opportunities for everyone who works for us and everyone who applies to join our team, without regard to sex or gender, gender identity, gender expression, age, race, religious creed, color, national origin, ancestry, pregnancy, physical or mental disability, medical condition, genetic information, marital status, sexual orientation, any service, past, present, or future, in the uniformed services of the United States (military or veteran status), or any other consideration protected by federal, state, or local law.