Samantha Graeler

• Serve as the primary post-sales liaison between RxBenefits and broker/client accounts, ensuring seamless onboarding and long-term relationship management.
• Lead client consultations to advise on pharmacy benefit management (PBM) services, leveraging deep industry knowledge to optimize client outcomes.
• Maintain comprehensive understanding of client organizations, products, and evolving needs; ensure accurate billing and data integrity through regular audits and updates.
• Facilitate internal work orders and implementation processes, coordinating cross-functional teams to deliver timely and accurate service.
• Conduct benefit presentations via webinars, benefit fairs, and in-person meetings; manage employee enrollments and materials distribution.
• Resolve complex service issues independently, acting as a key liaison between clients, brokers, and PBM partners.
• Prepare financial reports, census data, and audits; support quoting and benefit design validation.
• Maintain up-to-date client records and departmental resources; contribute to training material development and process improvement initiatives.
• Regularly communicate RxBenefits’ value-added services to clients, ensuring high satisfaction and retention.
• Collaborate with internal stakeholders including Pharmacy Operations, Sales, and Account Management leadership to ensure alignment and transparency.
• Participate in ongoing professional development through seminars and training programs.

• Manage and motivate employees to be productive and engaged in work
• Develop and maintain effective working relationships as liaison between clients, internal teams, and external partners, such PBMs, brokers, and other third party staff
• Understand each assigned client's business model, organizational structure, business goals, pharmacy benefit intent, and forecasted changes
• Proficient in the PBM marketplace, including carrier contacts, services, and underwriting requirements
• Present to clients and brokers market reprice analyses, contract terms, and rate dependencies
• Assist in the communication of employee benefits in client enrollment meetings and webinars with the appropriate PBM representation
• Assist the client in resolving billing, claim, eligibility, COBRA, and other customer service problems
• Partner with PBM teams to resolve problematic benefits issues
• Management and execution of client benefit requests, benefit changes, program implementations, new groups, and terminations
• Provide semi-annual detailed pharmacy benefit performance reports to clients and setting up virtual and in person meetings to discuss client metrics in comparison to industry benchmarks along with recommendations for plan improvement
• Develop robust client relationships to promote client satisfaction, client retention and additional revenue opportunities
• Review pharmacy benefit utilization trends and outliers with client on a regular basis
• Host clients in the NFP office and/or carrier facilities, as needed
• Prepare and provide ad hoc reports as needed
• Keep all information on book of business accurate and up to date in the CRM software
• Monitor client billing and payments and ensure that proper billing procedures are followed
• Assist in the development and maintenance of department resources, job aids, training materials, etc
• Participate in special projects as requested, i.e. speaking a corporate conferences and creating digital content

Provided assistance to registered pharmacist by:

• Entered patients into database accurately and efficiently
• Reviewed and process medication orders using client specific criteria
• Resolved customer inquiries regarding medication orders and deliveries
• Recapped patient charts to ensure physician order sheets are up to date
• Corresponded with nursing facility staff and physicians
• Followed HIPPA, Medicaid, and Medicare guidelines
• Worked independently and manage multiple priorities concurrently

Provided assistance to registered pharmacist by:

• Maximized customer satisfaction by assisting each customer with their questions and concerns
• Communicated with all healthcare professionals and customers by answering telephones
• Performed all prescription pick-up procedures and register transactions
• Resolved Third Party rejections and complete any manual claim forms
• Processed prescriptions including data entry, product selection, counting/measuring and labeling
• Maintained inventory by generating and sending orders on a daily basis
• Assisted with putting away daily drug orders and prescriptions ready for pick-up
• Pulled outdated, damaged, and recalled merchandise and prepare for return
• Trained and directed fellow technicians on their daily work flow as well as coordinate work schedule for all technicians

Provided assistance to registered pharmacist by:

• Providing efficient and friendly customer service by running the cash register and locating desired items
• Accepting new prescription orders and refill requests as well as gathering required patient information
• Inputting the prescription into the computer and accurately filling the order in timely manner
• Preparing and submitting insurance claims to third parties including troubleshooting
• Contacting physicians to verify or authorize prescriptions and address third party issues
• Promptly answering the telephone for prescription orders, refills, and price quotes
• Shelving, rotating, and checking in daily drug or supply orders from wholesalers
• Logging invoices and preparing prescriptions to be mailed or delivered
• Filing completed prescriptions and maintaining cleanliness of the pharmacy