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Form of workGallagher is a global leader in insurance, risk management and consulting services. We help businesses grow, communities thrive and people prosper. We live a culture defined by The Gallagher Way, our set of shared values and guiding tenets. A culture driven by our people, over 30,000 strong, serving our clients with customized solutions that will protect them and fuel their futures.
Position Summary:
Responsible for managing all new Pharmacy account activity for Managed Care Services.
Key Responsibilities:
- Communicate and publish schedules associated with all incoming accounts and transfer accounts.
- Requires professional communication with Sales Staff, Account Managers, Incoming Pharmacy Benefit Management company (PBM), and Outgoing PBM; Includes intense schedule planning and follow up.
- Requires occasional to frequent travel to meet with high profile accounts during critical implementations.
- Must possess advanced Microsoft Office skills to utilize technology for data analysis.
- Works with Account Management team to ensure client implementations are on-track for all deliverables.
- Works independently to define project goals and objectives.
- Delivers program design and implementation plan to PBM manager for approval and to account for final approval.
- Maintains daily communication with all outside vendor partner groups in order to identify and resolve customer service issues proactively.
- Monitors financial reports such as e--invoice and e-billing to validate accuracy and project financial issues.
- Responsible for the daily assignments and workloads of all clinical PBM Assistants.
- Works with PBM companies to ensure client implementations are on-track for all deliverables.
- Manages schedule and delivery of internal department tasks and responsibilities to ensure client implementations are on-track for all deliverables.
- Simultaneously manages multiple schedules for multiple account implementations to ensure client implementations are on-track for all deliverables.
- Monitors account performance through data analytics.
- Occasional to frequent travel required to meet with high profile accounts during critical implementations.
- Automobile ownership is required.
- Must maintain credit record that enables eligibility for a credit card.
- Works with management to set mutually beneficial annual goals and strategize to decrease utilization of expensive pharmaceuticals, multiple drug classes, and narcotics to meet/exceed goals and to ensure client satisfaction.
- Works with all internal areas to support large national account initiatives and deliverables.
- Works with all internal areas to resolve and track client service issues and solve problems.
- Serves as one point of contact for issue resolution and problem solving.
- Ensures management is aware of any ongoing issues.
Required:
- Bachelor's degree; equivalent experience considered.
- Must have minimum 2 years workers' compensation experience with knowledge of managed care products and PBM products in addition to 3 years account management or operations management experience.
- Must possess excellent organizational skills, advanced planning and coordination skills, high intermediate to advanced Microsoft Office skills (Excel, Word, PowerPoint), presentation skills, and analytical skills.
Desired:
- 5 or more years of experience in worker's compensation PBM and managed care environment preferred.
- Some variation of experience may compensate for experience in all categories.
- Experience with Project Management desirable.
- High intermediate to advanced Microsoft Office skills required.
Work Traits:
- Organization Skills
- Pharmacy Knowledge
- Analytical Skills
- Flexible with Schedule
- Excellent Communication Skills
U.S. Eligibility Requirements:
- Interested candidates must submit an application and resume/CV online to be considered
- Must be 18 years of age or older or must demonstrate legal capacity to enter a contract
- Must be willing to submit to a background investigation; any offer of employment is conditioned upon the successful completion of a background investigation
- Must have unrestricted work authorization to work in the United States. For U.S. employment opportunities, Gallagher hires U.S. citizens, permanent residents, asylees, refugees, and temporary residents. Temporary residence does not include those with non-immigrant work authorization (F, J, H or L visas), such as students in practical training status. Exceptions to these requirements will be determined based on shortage of qualified candidates with a particular skill. Gallagher will require proof of work authorization
- Must be willing to execute Gallagher's Employee Agreement or Confidentiality and Non-Disclosure Agreement, which require, among other things, post-employment obligations relating to non-solicitation, confidentiality and non-disclosure
- Gallagher offers competitive salaries and benefits, including: medical/dental/vision plans, life and accident insurance, 401(K), employee stock purchase plan, educational expense reimbursement, employee assistance program, flexible work hours (availability varies by office and job function) training programs, matching gift program, and more.
Gallagher believes that all persons are entitled to equal employment opportunity and does not discriminate against nor favor any applicant because of race, sex, color, disability, national origin, religion, creed, age, marital status, citizenship, veteran status, gender, gender identity / expression, actual or perceived sexual orientation, or any other protected characteristic. Equal employment opportunity will be extended in all aspects of the employer-employee relationship, including, but not limited to, recruitment, hiring, training, promotion, transfer, demotion, compensation, benefits, layoff, and termination. In addition, Gallagher will make reasonable accommodations to known physical or mental limitations of an otherwise qualified applicant with a disability, unless the accommodation would impose an undue hardship on the operation of our business.
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