Pharmacy Benefits Specialist

Company:

Mercer

Description:

We are seeking a talented Pharmacy Benefits Specialist to join our Mercer Rx  at Mercer a Marsh business. This role is a hybrid role requiring 3 days in the office and be based within one of our US Mercer office locations.

We will count on you to:

• Provides financial, contract and/or administrative analysis, and manages portions of projects, including ad-hoc client requests of problem-solving on administrative and operations issues.
• Supports financial analysis and review: including underwriting, data analytics, and partnership with actuaries to support funding analysis.
• Contributes as a member of the consulting team in developing overall client strategy, interprets and presents benchmark data to client and ensures plan and program changes are properly implemented embody client’s strategy.
• Demonstrates project management skills and manages the quality and timeliness of deliverables and delegates to and reviews project work of more junior colleagues.
• Manages internal specialty resources ensuring client deliverables meet client’s goals and deadlines and delegates and reviews project work of more junior colleagues.
• Assists with the preparation, completion of peer review process and delivery of clear and concise client-friendly communications.
• Works directly with the client and manages the request for proposal (RFP) process with the health insurance carriers and internal analyst.
• Collects and reviews the analyst’s compilation of health benefits information from a variety of sources (such as hard files, electronic files, the client and carriers), responses from the carriers and the data in a template (customization depends on client plan types, funding, rate structure, etc), and reviews transparency documents.
• Ensures compliance with professional standards including use of templates, client calendar, peer review, and transparency.
• Peer reviews the information, analyzes and interprets the results, edits and finalizes the executive summary report, and send this report to the client.
• Establishes necessary carrier/vendor relationships with appropriate contacts to serve clients in handling all administration (eligibility, claims, billing, plan implementation, contracts, plan changes and necessary amendments).

• Thrive and be motivated by an environment that embraces AI and technology-enabled tools.

What you need to have: 

• BA/BS degree
• Minimum of 3 years of experience in pharmacy, health & benefits, consulting and/or client facing
• Proficient in Microsoft 365, including Word, PowerPoint, Excel, and Teams
• Strong project management skills
• High sense of personal accountability and self-motivation
• Ability to manage competing deadlines and adapt to shifting priorities
• Close attention to detail, without losing sight of the bigger picture

What makes you stand out?

• Consulting experience from the employee benefits industry with Pharmacy Benefits Management hands on expeirence

Why join our team:

• We help you be your best through professional development opportunities, interesting work and supportive leaders.
• We foster a vibrant and inclusive culture where you can work with talented colleagues to create new solutions and have impact for colleagues, clients and communities.
• Our scale enables us to provide a range of career opportunities, as well as benefits and rewards to enhance your well-being.

Marsh (NYSE: MRSH) is a global leader in risk, reinsurance and capital, people and investments, and management consulting, advising clients in 130 countries. With annual revenue of over $27 billion and more than 95,000 colleagues, Marsh helps build the confidence to thrive through the power of perspective. For more information, visit marsh.com, or follow us on LinkedIn and X.

Marsh is committed to embracing a diverse, inclusive and flexible work environment. We aim to attract and retain the best people and embrace diversity of age background, disability, ethnic origin, family duties, gender orientation or expression, marital status, nationality, parental status, personal or social status, political affiliation, race, religion and beliefs, sex/gender, sexual orientation or expression, skin color, veteran status (including protected veterans), or any other characteristic protected by applicable law. If you have a need that requires accommodation, please let us know by contacting [email protected].

Marsh is committed to hybrid work, which includes the flexibility of working remotely and the collaboration, connections and professional development benefits of working together in the office. All Marsh colleagues are expected to be in their local office or working onsite with clients at least three days per week. Office-based teams will identify at least one “anchor day” per week on which their full team will be together in person.

The applicable base salary range for this role is $68,500 to $137,000.

The base pay offered will be determined on factors such as experience, skills, training, location, certifications, education, and any applicable minimum wage requirements. Decisions will be determined on a case-by-case basis. In addition to the base salary, this position may be eligible for performance-based incentives.

We are excited to offer a competitive total rewards package which includes health and welfare benefits, tuition assistance, 401K savings and other retirement programs as well as employee assistance programs.