AVP Pharmacy Analytics: PBM Strategy & Cost Optimization

TigerRisk Partners, LLC.; United States; Hybrid; USD 150,000 - 190,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401(k)

Flexible PTO

Parental leave

Life insurance

Disability insurance

Hybrid working

Job summary

Howden is seeking an Assistant Vice President (AVP), Pharmacy to serve as a strategic pharmacy consultant for employer clients, designing and optimizing PBM programs. You will lead procurement, financial analyses, market assessments, and client engagements while overseeing day-to-day operations of the Pharmacy Analytics practice supporting Howden’s middle market teams.

The ideal candidate has 7+ years in PBM/pharmacy consulting, deep knowledge of PBM pricing, rebates, and data-driven modeling,

Qualifications

• 7+ years of experience in pharmacy consulting, PBM account management, PBM underwriting, pricing, trade relations, clinical strategy, or related pharmacy benefit roles.
• Demonstrated knowledge of PBM contracting, rebate programs, pharmacy pricing methodologies, and specialty drug management.
• Advanced pharmacy financial modeling and analytical skills, including experience building and reviewing claim-level models, evaluating PBM pricing proposals, validating contract guarantees, and working with large pharmacy claims data sets.
• Exemplary knowledge of pharmacy analytics capabilities, methodologies, coverages, and services, including their application to PBM procurement, market checks, rebate reconciliations, contract reviews, and ongoing financial performance monitoring.
• Thorough understanding of PBM data layouts, claims and eligibility files, contract structures, financial terms, pricing guarantees, rebate arrangements, and core pharmacy data concepts.
• Demonstrated ability to oversee analytical workflow, prioritize competing requests, assign work effectively, review outputs, and communicate modeling assumptions, limitations, and results to technical and non-technical stakeholders.
• Ability to translate complex pharmacy concepts into actionable recommendations for clients and internal stakeholders.
• Excellent presentation, communication, and relationship management skills.

Responsibilities

• Serve as a trusted advisor on pharmacy benefit strategy, plan design, and cost management opportunities.
• Lead and support PBM market checks, renewals, procurement projects, and formal RFP processes.
• Oversee day-to-day operations of the Pharmacy Analytics practice for Howden’s middle market teams.
• Manage intake, scoping, and work assignment for PBM RFPs, rebate reconciliations, market checks, contract reviews, and other financial analyses.
• Analyze PBM financial proposals, pricing guarantees, rebate arrangements, dispensing fees, and contractual terms.
• Develop, maintain, and oversee claim-level and aggregate financial models used to evaluate PBM proposals, validate pricing guarantees and rebate arrangements, assess pharmacy program performance, and quantify vendor savings opportunities.
• Establish modeling standards, documented assumptions, quality-control procedures, and peer-review processes to promote accuracy, consistency, transparency, and auditability across pharmacy analytics deliverables.
• Interpret PBM claims, eligibility, formulary, rebate, specialty, and financial data; identify data-quality issues; and translate analytical findings into clear client recommendations and executive-level deliverables.
• Provide strategic guidance on specialty pharmacy, biosimilars, GLP-1 medications, cell and gene therapies, and emerging market trends.
• Review and negotiate pharmacy contract provisions and performance guarantees.
• Prepare and present client deliverables, executive summaries, and recommendations to employer leadership teams.
• Support finalist presentations, vendor evaluations, and implementation activities.
• Collaborate with account teams, producers, and subject matter experts to identify growth opportunities and deliver exceptional client service.

Skills

PBM contracting

Financial modeling

Excel

PowerPoint

Data analysis

Client advisory

Job description

Howden is seeking an Assistant Vice President (AVP), Pharmacy to serve as a strategic pharmacy consultant for employer clients, designing and optimizing PBM programs. You will lead procurement, financial analyses, market assessments, and client engagements while overseeing day-to-day operations of the Pharmacy Analytics practice supporting Howden’s middle market teams.

The ideal candidate has 7+ years in PBM/pharmacy consulting, deep knowledge of PBM pricing, rebates, and data-driven modeling,