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Pharmacy Design Consultant

A72298ea 3808 4935 A1ac 07d4d323bbbc 19000101 000001 · Mechanicsburg, PA, US, Mechanicsburg, PA; Bonita Springs, FL, US, Bonita Springs, FL · Active · ADP Workforce Now Recruiting

Job facts

FieldValue
CompanyA72298ea 3808 4935 A1ac 07d4d323bbbc 19000101 000001
TitlePharmacy Design Consultant
Normalized title-
Department / team-
LocationMechanicsburg, PA, United States
Work model-
Employment typeFull Time
Salary-
Statusactive
ATS providerADP Workforce Now Recruiting
Posted / first seen2026-05-20 / 2026-05-31
Changed / last seen2026-06-06 / 2026-06-06

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Linked records

CompanyA72298ea 3808 4935 A1ac 07d4d323bbbc 19000101 000001
Source1ece3aba-036a-4bd7-8215-79f22d333265
ATS providerADP Workforce Now Recruiting

Description

This role is responsible for the end‑to‑end development and ongoing maintenance of client Implementation Guides, which are essential for accurately configuring pharmacy benefits. The position requires expert-level knowledge of prescription benefits, strong systems proficiency, and the ability to interpret complex plan design documentation from other carriers. Pharmacy Design Consultant will partner closely with internal teams and external stakeholders to ensure that all plan designs align with client expectations while adhering to regulatory requirements and system capabilities. Key Responsibilities Benefit Plan Design & Documentation Lead the end‑to‑end creation, validation, loading and maintenance of pharmacy benefit plan designs/IG’s Develop and maintain client Implementation Guides, ensuring accuracy, clarity, and alignment with benefit requirements Translate complex client benefit requests into actionable system configurations within established capabilities Provide guidance to cross-functional teams, including Client Success, Operations, Compliance, and Operations Recommend best practices for benefit design to ensure accuracy, efficiency, and consistency across clients Quality Assurance, Testing & Monitoring Provide support and 2 nd set of eyes on all new client implementations testing Cross-Functional Collaboration & Support Work closely with implementation teams to ensure smooth client onboarding and benefit transitions Support internal teams with benefit interpretation questions and technical clarifications Stay current on ACA requirements, state regulations, and clinical program capabilities Maintain version control and auditability of Implementation Guides Qualifications: Required Minimum of 3-5 years’ experience in pharmacy benefits, PBM operations or healthcare plan configuration Proven ability to interpret plan design documents from external carriers Knowledge of ACA mandates and state-specific benefit rules Strong time management and prioritization skills Excellent communication and collaboration skills Experience working cross-functionally with implementation or client-facing teams Extremely detail-oriented and organized Preferred Experience with benefit setup in a PBM system Familiarity with health plan or TPA operations Process improvement or documentation experience Prescription claims adjudication experience Benecard Services, LLC Benecard Services, LLC has been administering carve-out, fixed rate insured prescription drug benefit programs since 1990. Benecard is a full service, in-house prescription benefit administrator that includes mail and specialty drug dispensing. We are a premiere nationwide Prescription Benefit Administrator headquartered in Lawrenceville, New Jersey. Website: http://www.benecard.com BeneCard PBF BeneCard PBF provides self-funded prescription benefit program administration with a personalized approach through focused, clinical expertise. Our business model operates on a customized claim processing system offering unlimited capability and flexibility to respond to client needs in an evolving marketplace. Advanced clinical programs and advanced technology provide the framework to maximize the use of all data elements available. This allows BeneCard PBF to filter the information, focus on clinical opportunities and facilitate interaction between the physician, the pharmacist and the patient to effectively promote complete health care. Headquartered in Bonita Springs, Florida. Website: http://benecardpbf.com National Vision Administrators For over 40 years, National Vision Administrators (NVA) has been meeting the vision benefit needs of public employer groups, Health & Welfare Funds, Associations and Coalitions. Providing millions of people throughout the United States with vision care programs that help them be smarter buyers of eye care and eyewear, NVA is particularly well suited to address today's health benefit challenges as it relates to eye care. We offer cost-effective, customized vision benefit programs that are clinically integrated. We are proud of the fact that we have retained over 99% of our clients and believe it is the greatest testimony to the high-quality benefits and service satisfaction we provide to both our clients and their members. Headquartered in Clifton, New Jersey. Website: http://www.e-nva.com We are an Equal Opportunity employer.

Full job record

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Board ID1ece3aba-036a-4bd7-8215-79f22d333265
Provideradp_workforcenow
Provider Job Key584383
TitlePharmacy Design Consultant
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Statusactive
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First Seen At2026-05-31 18:21:27Z
Last Seen At2026-06-06 20:16:10Z
Last Checked At2026-06-06 20:16:10Z
Last Changed At2026-06-06 20:16:10Z
Inactive At—
Source Posted At2026-05-20 18:04:00Z
Source Updated At—
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    "requisitionDescription": "<div><div><div><div><div><div><div><div><div><div><p data-pasted=\"true\">This role is responsible for the end‑to‑end development and ongoing maintenance of client Implementation Guides, which are essential for accurately configuring pharmacy benefits. The position requires expert-level knowledge of prescription benefits, strong systems proficiency, and the ability to interpret complex plan design documentation from other carriers. Pharmacy Design Consultant will partner closely with internal teams and external stakeholders to ensure that all plan designs align with client expectations while adhering to regulatory requirements and system capabilities.</p><p><strong>Key Responsibilities</strong></p><p><strong>Benefit Plan Design &amp; Documentation</strong></p><ul style=\"list-style-type: disc;\"><li>Lead the end‑to‑end creation, validation, loading and maintenance of pharmacy benefit plan designs/IG&rsquo;s</li><li>Develop and maintain client Implementation Guides, ensuring accuracy, clarity, and alignment with benefit requirements</li><li>Translate complex client benefit requests into actionable system configurations within established capabilities</li><li>Provide guidance to cross-functional teams, including Client Success, Operations, Compliance, and Operations</li><li>Recommend best practices for benefit design to ensure accuracy, efficiency, and consistency across clients</li></ul><p><strong>Quality Assurance, Testing &amp; Monitoring</strong></p><ul style=\"list-style-type: disc;\"><li>Provide support and 2<sup>nd</sup> set of eyes on all new client implementations testing</li></ul><p><strong>Cross-Functional Collaboration &amp; Support</strong></p><ul style=\"list-style-type: disc;\"><li>Work closely with implementation teams to ensure smooth client onboarding and benefit transitions</li><li>Support internal teams with benefit interpretation questions and technical clarifications</li><li>Stay current on ACA requirements, state regulations, and clinical program capabilities</li><li>Maintain version control and auditability of Implementation Guides</li></ul><p><strong>Qualifications:</strong></p><p><strong>Required</strong></p><ul style=\"list-style-type: disc;\"><li>Minimum of 3-5 years&rsquo; experience in pharmacy benefits, PBM operations or healthcare plan configuration</li><li>Proven ability to interpret plan design documents from external carriers</li><li>Knowledge of ACA mandates and state-specific benefit rules</li><li>Strong time management and prioritization skills</li><li>Excellent communication and collaboration skills</li><li>Experience working cross-functionally with implementation or client-facing teams</li><li>Extremely detail-oriented and organized</li></ul><p><strong>Preferred&nbsp;</strong></p><ul style=\"list-style-type: disc;\"><li>Experience with benefit setup in a PBM system</li><li>Familiarity with health plan or TPA operations</li><li>Process improvement or documentation experience</li><li>Prescription claims adjudication experience</li></ul><p style='box-sizing: border-box; outline: none; --tw-shadow: 0 0 #0000; --tw-ring-inset: ; --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; margin-top: 0px; margin-bottom: 1rem; line-height: 1.25; color: rgb(38, 35, 33); font-family: Circular, -apple-system, BlinkMacSystemFont, \"Segoe UI\", Roboto, Oxygen, Ubuntu, Cantarell, \"Fira Sans\", \"Droid Sans\", \"Helvetica Neue\", sans-serif; font-size: 16px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; background-color: rgb(255, 255, 255);' data-pasted=\"true\"><span style=\"font-size: 14px;\">Benecard Services, LLC</span></p><p style='box-sizing: border-box; outline: none; --tw-shadow: 0 0 #0000; --tw-ring-inset: ; --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; margin-top: 0px; margin-bottom: 1rem; line-height: 1.25; color: rgb(38, 35, 33); font-family: Circular, -apple-system, BlinkMacSystemFont, \"Segoe UI\", Roboto, Oxygen, Ubuntu, Cantarell, \"Fira Sans\", \"Droid Sans\", \"Helvetica Neue\", sans-serif; font-size: 16px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; background-color: rgb(255, 255, 255);'><span style=\"font-size: 14px;\">Benecard Services, LLC has been administering carve-out, fixed rate insured prescription drug benefit programs since 1990. Benecard is a full service, in-house prescription benefit administrator that includes mail and specialty drug dispensing. We are a premiere nationwide Prescription Benefit Administrator headquartered in Lawrenceville, New Jersey.</span></p><p style='box-sizing: border-box; outline: none; --tw-shadow: 0 0 #0000; --tw-ring-inset: ; --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; margin-top: 0px; margin-bottom: 1rem; line-height: 1.25; color: rgb(38, 35, 33); font-family: Circular, -apple-system, BlinkMacSystemFont, \"Segoe UI\", Roboto, Oxygen, Ubuntu, Cantarell, \"Fira Sans\", \"Droid Sans\", \"Helvetica Neue\", sans-serif; font-size: 16px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; background-color: rgb(255, 255, 255);'><span style=\"font-size: 14px;\">Website: <a target=\"_blank\" href=\"http://www.benecard.com/\" style=\"font-size: 14px;\">http://www.benecard.com</a></span></p><p style='box-sizing: border-box; outline: none; --tw-shadow: 0 0 #0000; --tw-ring-inset: ; --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; margin-top: 0px; margin-bottom: 1rem; line-height: 1.25; color: rgb(38, 35, 33); font-family: Circular, -apple-system, BlinkMacSystemFont, \"Segoe UI\", Roboto, Oxygen, Ubuntu, Cantarell, \"Fira Sans\", \"Droid Sans\", \"Helvetica Neue\", sans-serif; font-size: 16px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; background-color: rgb(255, 255, 255);'><span style=\"font-size: 14px;\">BeneCard PBF</span></p><p style='box-sizing: border-box; outline: none; --tw-shadow: 0 0 #0000; --tw-ring-inset: ; --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; margin-top: 0px; margin-bottom: 1rem; line-height: 1.25; color: rgb(38, 35, 33); font-family: Circular, -apple-system, BlinkMacSystemFont, \"Segoe UI\", Roboto, Oxygen, Ubuntu, Cantarell, \"Fira Sans\", \"Droid Sans\", \"Helvetica Neue\", sans-serif; font-size: 16px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; background-color: rgb(255, 255, 255);'><span style=\"font-size: 14px;\">BeneCard PBF provides self-funded prescription benefit program administration with a personalized approach through focused, clinical expertise. Our business model operates on a customized claim processing system offering unlimited capability and flexibility to respond to client needs in an evolving marketplace. Advanced clinical programs and advanced technology provide the framework to maximize the use of all data elements available. This allows BeneCard PBF to filter the information, focus on clinical opportunities and facilitate interaction between the physician, the pharmacist and the patient to effectively promote complete health care. Headquartered in Bonita Springs, Florida.</span></p><p style='box-sizing: border-box; outline: none; --tw-shadow: 0 0 #0000; --tw-ring-inset: ; --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; margin-top: 0px; margin-bottom: 1rem; line-height: 1.25; color: rgb(38, 35, 33); font-family: Circular, -apple-system, BlinkMacSystemFont, \"Segoe UI\", Roboto, Oxygen, Ubuntu, Cantarell, \"Fira Sans\", \"Droid Sans\", \"Helvetica Neue\", sans-serif; font-size: 16px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; background-color: rgb(255, 255, 255);'><span style=\"font-size: 14px;\">Website: <a target=\"_blank\" href=\"http://benecardpbf.com/\" style=\"font-size: 14px;\">http://benecardpbf.com</a></span></p><p style='box-sizing: border-box; outline: none; --tw-shadow: 0 0 #0000; --tw-ring-inset: ; --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; margin-top: 0px; margin-bottom: 1rem; line-height: 1.25; color: rgb(38, 35, 33); font-family: Circular, -apple-system, BlinkMacSystemFont, \"Segoe UI\", Roboto, Oxygen, Ubuntu, Cantarell, \"Fira Sans\", \"Droid Sans\", \"Helvetica Neue\", sans-serif; font-size: 16px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; background-color: rgb(255, 255, 255);'><span style=\"font-size: 14px;\">National Vision Administrators</span></p><p style='box-sizing: border-box; outline: none; --tw-shadow: 0 0 #0000; --tw-ring-inset: ; --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; margin-top: 0px; margin-bottom: 1rem; line-height: 1.25; color: rgb(38, 35, 33); font-family: Circular, -apple-system, BlinkMacSystemFont, \"Segoe UI\", Roboto, Oxygen, Ubuntu, Cantarell, \"Fira Sans\", \"Droid Sans\", \"Helvetica Neue\", sans-serif; font-size: 16px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; background-color: rgb(255, 255, 255);'><span style=\"font-size: 14px;\">For over 40 years, National Vision Administrators (NVA) has been meeting the vision benefit needs of public employer groups, Health &amp; Welfare Funds, Associations and Coalitions. Providing millions of people throughout the United States with vision care programs that help them be smarter buyers of eye care and eyewear, NVA is particularly well suited to address today&#39;s health benefit challenges as it relates to eye care. We offer cost-effective, customized vision benefit programs that are clinically integrated. We are proud of the fact that we have retained over 99% of our clients and believe it is the greatest testimony to the high-quality benefits and service satisfaction we provide to both our clients and their members. Headquartered in Clifton, New Jersey.</span></p><p style='box-sizing: border-box; outline: none; --tw-shadow: 0 0 #0000; --tw-ring-inset: ; --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; margin-top: 0px; margin-bottom: 1rem; line-height: 1.25; color: rgb(38, 35, 33); font-family: Circular, -apple-system, BlinkMacSystemFont, \"Segoe UI\", Roboto, Oxygen, Ubuntu, Cantarell, \"Fira Sans\", \"Droid Sans\", \"Helvetica Neue\", sans-serif; font-size: 16px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; background-color: rgb(255, 255, 255);'><span style=\"font-size: 14px;\">Website: &nbsp;<a target=\"_blank\" href=\"http://www.e-nva.com/\" style=\"font-size: 14px;\">http://www.e-nva.com</a></span></p><p style='box-sizing: border-box; outline: none; --tw-shadow: 0 0 #0000; --tw-ring-inset: ; --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; margin-top: 0px; margin-bottom: 1rem; line-height: 1.25; color: rgb(38, 35, 33); font-family: Circular, -apple-system, BlinkMacSystemFont, \"Segoe UI\", Roboto, Oxygen, Ubuntu, Cantarell, \"Fira Sans\", \"Droid Sans\", \"Helvetica Neue\", sans-serif; font-size: 16px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; background-color: rgb(255, 255, 255);'><span style=\"font-size: 14px;\">&nbsp;</span></p><p style='box-sizing: border-box; outline: none; --tw-shadow: 0 0 #0000; --tw-ring-inset: ; --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; margin-top: 0px; margin-bottom: 1rem; line-height: 1.25; color: rgb(38, 35, 33); font-family: Circular, -apple-system, BlinkMacSystemFont, \"Segoe UI\", Roboto, Oxygen, Ubuntu, Cantarell, \"Fira Sans\", \"Droid Sans\", \"Helvetica Neue\", sans-serif; font-size: 16px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; background-color: rgb(255, 255, 255);'><span style=\"font-size: 14px;\">We are an Equal Opportunity employer.</span></p><p><br></p></div></div></div></div></div></div></div></div></div></div>\n",
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