Clinical PBM Consultant: Pharmacy Benefit Strategy

Judi Health, LLC; Charlotte (NC); On-site; USD 140,000 - 160,000; Full time

Job summary

Judi Health, LLC is seeking a Clinical Account Consultant (CAC) to lead clinical strategy for a portfolio of pharmacy benefit management clients in Charlotte, NC. You will turn complex claims data and guidelines into clear, data-driven recommendations to improve member outcomes and pharmacy benefit performance.

The role collaborates with Account Executives and internal teams to operationalize formulary changes and program initiatives while ensuring a high-quality client and member experience.

Qualifications

• Doctor of Pharmacy (PharmD) degree from an accredited institution.
• Active pharmacist license, or ability to obtain/maintain licensure as required.
• 3–5 years of experience in PBM, managed care, or health plan environments.
• Strong clinical knowledge of formulary management, utilization management, clinical programs, and pharmacy trend analysis.
• Experience analyzing pharmacy claims data and translating findings into actionable clinical recommendations.
• Ability to explain complex clinical concepts clearly to both clinical and non-clinical audiences.
• Strong written and verbal communication skills.
• Highly organized and able to manage multiple priorities in a fast-paced, cross-functional environment.
• Proficiency in Microsoft Office Suite, including Excel, and experience working with large data sets.
• Ability to travel and present to small and large groups; travel is estimated not to exceed 25%.

Responsibilities

• Analyze pharmacy claims, utilization, and drug trend data to surface insights and build evidence-based recommendations across formulary, utilization management, specialty, and clinical programs.
• Translate treatment guidelines, pipeline developments, and market trends into client strategy and assess its clinical impact.
• Operationalize approved recommendations with internal teams so clinical intent is accurately reflected in formulary changes, utilization management initiatives, and other pharmacy benefit enhancements.
• Review disruption analyses, clinical readiness materials, and post-go-live outputs to support accurate execution and a strong client/member experience.
• Build client-ready clinical content for quarterly business reviews, strategic reviews, renewals, finalist presentations, and other client needs – then present findings and field clinical questions directly.
• Partner with Account Executives, analytics, operations, product, and other internal teams to align clinical strategy with operational execution and platform capabilities.
• Contribute to development of standardized clinical tools, templates, and best practices that raise quality, efficiency, and consistency across the team.
• Support general business and team needs, as required.

Skills

Clinical data analysis

Communication skills

Data interpretation

Travel ability

Education

Doctor of Pharmacy (PharmD)

Tools

Microsoft Office (Excel)

Job description

Judi Health, LLC is seeking a Clinical Account Consultant (CAC) to lead clinical strategy for a portfolio of pharmacy benefit management clients in Charlotte, NC. You will turn complex claims data and guidelines into clear, data-driven recommendations to improve member outcomes and pharmacy benefit performance.

The role collaborates with Account Executives and internal teams to operationalize formulary changes and program initiatives while ensuring a high-quality client and member experience.