Area Vice President, Medicare, National Pharmacy Practice

At Gallagher Benefit Services, you’re a trusted partner to organizations navigating some of their most important people decisions. We help clients build better workplaces, where people feel supported, empowered, and inspired to thrive. Whether it’s shaping benefit strategies, designing wellbeing programs, or advising on workforce challenges, the work you do here creates meaningful change for businesses and the people who power them. We’re a community of bold explorers, trusted experts, and compassionate partners; working side by side to solve problems, and shape the future of work. Here, curiosity is encouraged, collaboration is second nature, and your ideas have room to grow. If you’re looking for a place where your contribution matters and where you can help build a better world of work; think of Gallagher.

This position manages key client projects for Medicare Advantage Prescription Drug and Employer Group Waiver Plans. Responsibilities include the accurate development and review for accuracy of Medicare required member materials such as the annual notice of change (ANOC) and evidence of coverage (EOC. In addition to communications, ongoing client management of key clients will be expected.

• Use existing strong understanding of employee benefits regulations, vendor products and capabilities to solve client issues in a timely manner.
• Attend internal training sessions as well as industry related sessions to enhance knowledge and to develop professionally.
• Prioritize responsiveness to Clients, Senior Pharmacy Consultants and Health and Welfare Producers.
• Proactively communicate with Team Members, Clients, Carriers and Vendors
• Material Development: Accurately draft, develop or peer review Medicare-required member materials, including ANOC and EOC, ensuring compliance with CMS guidelines customizing to client requirements. This would include making edits and recommendations based on Medicare rules, creating client specific timelines and back-and-forth customization with our clients to ensure compliance.
• Material Review: Conduct thorough reviews of member materials to verify accuracy, consistency, and adherence to regulatory requirements.
• Project Management: Manage multiple client projects simultaneously, ensuring timely delivery of high-quality materials.
• Compliance Assurance: Stay updated on Medicare regulations and guidelines to ensure all materials meet current standards.
• Client Collaboration: Work closely with clients to understand their needs, provide updates, and address any concerns related to member materials.
• Quality Control: Implement quality assurance processes to identify and correct errors in documentation.

• Support Senior pharmacy benefits consultants and producers in client facing activities and revenue generating opportunities
• Maintain technical understanding of pharmacy benefit products and concepts
• Have a strong understanding of current pharmacy benefit trends, conditions and concepts.
• Be capable of reviewing and interpreting CMS marketing requirements, explaining utilization and cost trends to existing or prospective clients.
• Establish and maintain proactive communication with clients/carriers and vendors
• Keep a current awareness of vendors’ products and capabilities
• Keep Senior Pharmacy Consultant informed on matters of importance via written and verbal correspondence
• Advise on and contribute to creation of content for employee communication material specific to required Medicare changes annually to be used by a client regarding employee benefit design and cost if requested
• Respond to all client questions regarding, member materials, and facilitate resolution of complex issues in a timely manner as needed
• Stay abreast of all client pharmacy activity, including renewals, market checks, procurement activity and audit opportunities.
• Interface with team members and servicing team on issues relating to the client
• Maintain client files with documentation as required by internal compliance standards
• Participate in special projects as assigned; perform other duties as assigned by management
• Participate in client facing meetings and calls, as needed
• Create member webinar presentation for Clients to present new Medicare benefit implementations
• Ensure that clients requirements and needs are represented to our vendors not only for member materials, but to also avoid the need to be forced into vendor standard offerings

Required: Bachelor's degree and at least 10 years of Medicare Compliance/Communications experience

Work Traits:

• Must be self-motivated, assertive, enthusiastic and collaborative
• Must be amiable when encountering difficult situations with clients, vendors and co-workers
• Must be well organized with the ability to prioritize effectively and deliver work according to strict deadlines
• Must be an excellent verbal and written communicator. Should be comfortable with making presentations to peers and to clients
• Must have excellent technical skills and knowledge of business applications (Microsoft Word, Excel, Access (other related databases) and PowerPoint, etc.)

We offer a competitive and comprehensive compensation package. The base salary range represents the anticipated low end and high end of the range for this position. The actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. On top of a competitive salary, great teams and exciting career opportunities, we also offer a wide range of benefits.

Below are the minimum core benefits you’ll get, depending on your job level these benefits may improve:

• Medical/dental/vision plans, which start from day one!
• Life and accident insurance
• 401(K) and Roth options
• Tax-advantaged accounts (HSA, FSA)
• Educational expense reimbursement
• Paid parental leave

Other benefits include:

• Digital mental health services (Talkspace)
• Flexible work hours (availability varies by office and job function)
• Training programs
• Gallagher Thrive program – elevating your health through challenges, workshops and digital fitness programs for your overall wellbeing
• Charitable matching gift program
• And more...

**The benefits summary above applies to fulltime positions. If you are not applying for a fulltime position, details about benefits will be provided during the selection process.

We value inclusion and diversity

Click Here to review our U.S. Eligibility Requirements

Inclusion and diversity (I&D) is a core part of our business, and it’s embedded into the fabric of our organization. For more than 95 years, Gallagher has led with a commitment to sustainability and to support the communities where we live and work.

Gallagher embraces our employees’ diverse identities, experiences and talents, allowing us to better serve our clients and communities. We see inclusion as a conscious commitment and diversity as a vital strength. By embracing diversity in all its forms, we live out The Gallagher Way to its fullest.

Gallagher believes that all persons are entitled to equal employment opportunity and prohibits any form of discrimination by its managers, employees, vendors or customers based on race, color, religion, creed, gender (including pregnancy status), sexual orientation, gender identity (which includes transgender and other gender non-conforming individuals), gender expression, hair expression, marital status, parental status, age, national origin, ancestry, disability, medical condition, genetic information, veteran or military status, citizenship status, or any other characteristic protected (herein referred to as “protected characteristics”) by applicable federal, state, or local laws.

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 person with a disability, unless the accommodation would impose an undue hardship on the operation of our business.