Role overview
Advise employer clients on pharmacy benefit strategy, procurement, and cost management, while overseeing the analytics work that supports a middle-market client practice. The role combines client consulting, detailed financial and contract analysis, and operational leadership of project intake, priorities, quality, and delivery.
Responsibilities
- Recommend pharmacy benefit designs and cost management approaches based on client needs and market conditions.
- Lead PBM procurement, renewal, market check, and RFP work, including vendor comparisons and client presentations.
- Coordinate analytics workflows: scope requests, assign work, manage priorities and resources, and oversee deliverables.
- Analyze claims and financial proposals, including pricing guarantees, rebates, dispensing fees, and contract terms.
- Build and review claim-level and aggregate models; set documented assumptions and quality controls to support reliable, auditable results.
- Explain findings and recommendations to employer leaders, and support vendor selection, contract discussions, and implementation.
Requirements
- At least 7 years in pharmacy consulting, PBM account management, underwriting, pricing, trade relations, clinical strategy, or a related benefits role.
- Strong understanding of PBM contracting, rebate programs, pharmacy pricing methods, and specialty drug management.
- Advanced financial modeling and analytical ability, including work with large pharmacy claims datasets and validation of pricing and contract guarantees.
- Strong presentation, communication, and relationship skills; able to manage multiple client projects in a fast-paced setting.
- Advanced Excel and PowerPoint proficiency; periodic travel for client meetings, conferences, and business development may be required.
Nice to have
- Experience with pharmacy analytics and reporting tools.
- Familiarity with specialty medicines, biosimilars, GLP-1 therapies, cell and gene therapies, and emerging cost management approaches.
Benefits and work setup
- Expected base salary is $150,000–$190,000, based on experience and work location; discretionary bonus eligibility is offered.
- Benefits, subject to eligibility, include medical, dental, and vision plans, retirement savings, flexible paid time off, parental leave, life insurance, and disability coverage.
- Hybrid work or flexible hours may be available depending on the role.