Pharmacy Sales Support Specialist (hybrid)

PURPOSE OF THE

• Responsible for providing support to our internal RFP (request for proposal) and Sales teams to ensure accurate information regarding our Pharmacy Program.

QUALIFICATIONS

REQUIRED QUALIFICATIONS

Required Work Experience

• 2 years of experience in pharmacy or medical claim field
• 2 years of experience with the current BCBSAZ PBM system or previous system
• 2 years of experience working with PBM Sales support

Required Education

• Associate Degree in Business Administration, HealthCare Administration or related field

Required Licenses

• N/A

Required Certifications

• N/A

PREFERRED QUALIFICATIONS

Preferred Work Experience

• 5 years of experience with a pharmacy benefit management or prescription claim administration company
• 3 year of experience with the current BCBSAZ PBM system
• 1 year experience with BCBSAZ claims software / system
• 2 years of demonstrated experience handling confidential information
• 2 years of experience supporting Sales/RFP and Client Implementation needs

Preferred Education

• Bachelor of Science Degree in Business Administration, HealthCare Administration or related field

Preferred Licenses

• N/A

Preferred Certifications

• N/A

ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES

• Supports the Sales/RFP and CIM teams to ensure they have what they need from our pharmacy team to do the following
  • Respond to RFPs, this includes coordinating all updates to the RFP library and ensuring accurate pricing to clients is available for RFPs.
  • Responds to issues from sales from clients or brokers about our pharmacy benefits.
  • Communication contact for all things pharmacy i.e., updates to benefits, benchmark questions etc.
  • Supports creation of new pricing modes (variable pricing) for clients.
  • Supports implementation and monitoring of all variable pricing clients including accuracy of said pricing
  • Participate in pre-Sales meetings/discussions to better understand the opportunity and how to best position our response
  • Coordinates PBM specific files with appropriate vendor(s)
  • Coordinate internal requests to SMEs to generate coverage disruption files.
  • Runs initial reports needed to request business impact for buy-up programs supported by vendor(s)
  • Coordinate impact report requests with appropriate vendor(s)
  • Review and respond with observations to Sales SREs/AMs about benefits of prospective buy-up programs.
  • Coordinates review/distribution of buy-up program reporting to applicable SREs/AMs.
  • Works collaboratively with PA Techs/Pharmacists to coordinate requests to/from Sales for coverage exceptions and ensures group level impacts are clearly known/agreed to.

• Supports the RFP process and coordinate distribution of questions to vendor when appropriate.
• Administer, interpret and maintain current knowledge of the required BCBSAZ systems, procedures, forms and manuals
• Create and Communicate recommendations in regard to medication claim processing.
• Monitor, investigate and report on reported medication related claim system issues
• Participate in quality initiatives; including functions that support audits, reporting, evaluation of quality opportunities and concerns, and creation and implementation of corrective actions as requested
• Actively participate in activities which support PBM services that offer the best value and compete actively in the market
• Communicate effectively with the management team within the department to investigate, strategize, troubleshoot, and streamline processes

• The position requires a full-time work schedule. Full-time is defined as working at least 40 hours per week, plus any additional hours as requested or as needed to meet business requirements.
• Perform all other duties as assigned.