Employee Benefits Pharmacy Solutions Consultant

Usi, Inc.; United States; On-site; USD 115,000 - 135,000; Full time

Benefits offered by this job

Paid time off

Paid holidays

Bonus eligible (5% target incentive)

Job summary

USI is seeking a Pharmacy Solutions Consultant to act as a strategic advisor for complex PBM accounts, guiding financial and contractual decisions, and building trusted client relationships to optimize cost, plan performance, and long-term satisfaction. You will collaborate with Pharmacy Analysts to deliver data-driven recommendations and drive successful PBM solutions.

Ideal candidates have 6+ years in pharmacy benefits or PBM consulting, strong Excel and communication skills, and willingness

Qualifications

• Six+ years of experience in pharmacy benefits, PBM account management, or related fields.
• Bachelor’s degree preferred; equivalent education and experience considered.
• Experience in client service or consulting in employee benefits or pharmacy benefits preferred.
• Strong knowledge of PBM contract structures, pricing methodologies, rebate arrangements, formulary management, and vendor evaluations.
• Experience with PBM contract structures and market checks.

Responsibilities

• Manage highly complex PBM accounts with varied contract structures and plan designs.
• Serve as primary client contact for PBM-related matters and support retention and growth.
• Provide advanced PBM financial and contractual consulting including rebates, discounts, and fees.
• Collaborate with Pharmacy Analysts to review claims, utilization trends, and financial performance.
• Manage RFPs, market checks, renewals, and contract negotiations.
• Oversee PBM implementations, plan transitions, and data management.
• Develop and advise on formulary management, specialty pharmacy, and cost containment strategies.
• Provide PBM regulatory and market expertise to clients and sales teams.
• Support business development through cross-selling pharmacy consulting services.
• Prepare client deliverables like performance reports and renewal recommendations.
• Facilitate meetings including stewardship reviews, renewal discussions, and on-site presentations.
• Participate in peer reviews to ensure quality of services.
• Develop communications and training materials for client education and internal teams.
• Maintain expertise on PBM developments and regulatory changes.

Skills

Strategic advisory

PBM account management

Client relationship management

Negotiation

Financial analysis

Communication skills

Travel willingness

Education

Bachelor’s degree or equivalent

Tools

Microsoft Office

Excel

Financial modeling tools

Job description

About the Role

The Pharmacy Solutions Consultant is a strategic advisor and client-facing expert for complex pharmacy benefit accounts. In this role, you will provide consultative guidance on Pharmacy Benefit Manager (PBM) financial and contractual decisions, develop pharmacy benefit strategies, and build trusted client relationships to support cost management, plan performance, and long-term satisfaction. You will work closely with Pharmacy Analysts, who provide specialized data analysis, financial modeling, and technical support.

Requirements

Description and Requirements

About the Role

The Pharmacy Solutions Consultant is a strategic advisor and client-facing expert for complex pharmacy benefit accounts. In this role, you will provide consultative guidance on Pharmacy Benefit Manager (PBM) financial and contractual decisions, develop pharmacy benefit strategies, and build trusted client relationships to support cost management, plan performance, and long-term satisfaction. You will work closely with Pharmacy Analysts, who provide specialized data analysis, financial modeling, and technical support.

What You'll Do

• Manage highly complex pharmacy benefit accounts with multiple PBM contract structures, funding arrangements, and customized plan designs.
• Serve as the primary client contact or escalation resource for PBM-related matters, delivering proactive consulting and account management to support client retention and growth.
• Provide advanced PBM financial and contractual consulting, including pricing guarantees, rebate structures, discounts, administrative fees, contract language, and performance against negotiated terms.
• Partner with Pharmacy Analysts to review and present pharmacy claims, utilization trends, financial performance, specialty pharmacy spend, rebate outcomes, and plan performance data, translating findings into actionable recommendations.
• Manage PBM RFPs, market checks, vendor evaluations, renewals, and contract negotiations, including bid development, financial review, and implementation planning.
• Oversee PBM implementations, plan transitions, benefit configuration, eligibility coordination, data file management, and ongoing account support.
• Develop and advise on pharmacy benefit strategies related to formulary management, specialty pharmacy, utilization management, clinical programs, and cost containment initiatives.
• Provide pharmacy benefit, regulatory, and market expertise to clients, account management team members, and Sales Executives.
• Represent client interests in internal strategy discussions and coordinate support from Pharmacy Analysts and clinical, actuarial, and technical pharmacy resources.
• Support business development efforts through cross-selling initiatives and expansion of pharmacy consulting services.
• Prepare and oversee client deliverables, including performance reports, financial analyses, renewal recommendations, RFP summaries, and client presentations.
• Facilitate client meetings, including stewardship reviews, renewal discussions, and PBM finalist presentations, both virtually and on-site.
• Participate in peer review activities to ensure the quality, consistency, and effectiveness of pharmacy consulting services.
• Develop communications and training materials to support client education and internal team development.
• Maintain expertise on PBM developments, drug pipeline trends, regulatory changes, and emerging pharmacy benefit strategies to proactively advise clients and strengthen the pharmacy consulting practice.

What We're Looking For

• 6+ years of experience in pharmacy benefits, PBM account management, pharmacy consulting, or a related field.
• Bachelor’s degree preferred; equivalent education and experience will be considered.
• Prior client service or consulting experience within employee benefits or pharmacy benefits preferred.
• Strong understanding of PBM contract structures, pricing methodologies, rebate arrangements, formulary management, pharmacy regulations, and vendor evaluation processes, including RFPs and market checks.
• Working knowledge of pharmacy claims analysis and financial modeling concepts; advanced technical analysis is supported by Pharmacy Analysts.
• Active Life and Disability insurance license or ability to obtain within four months of employment.
• Proficiency in Microsoft Office applications, including advanced Excel skills.
• Exceptional communication, presentation, negotiation, and relationship management skills.
• Ability to interpret complex financial and contractual information and develop strategic, client-focused solutions.
• Strong organizational skills, attention to detail, and ability to manage multiple priorities and deadlines.
• Willingness to travel within the region and occasionally nationwide.

Why USI?

With approximately $3 billion in revenue and over 10,500 associates across approximately 200 offices nationwide, USI is one of the largest insurance brokerage and consulting firms in the world. At USI, we have created one of the most dynamic personal and professional development cultures in the industry. We invest heavily in our associates, and we take pride in celebrating their growth and success through our one-of-a-kind employee reward and recognition programs.

Unrivaled Resources and Support

What truly distinguishes USI as a premier insurance brokerage and consulting firm is the USI ONE Advantage, a game-changing value proposition that delivers to clients a robust set of risk management and benefit solutions with bottom-line financial impact. USI ONE represents Omni, Network, Enterprise—the three key elements that set USI apart from the competition. Through USI ONE, we develop strategic, timely, and effective risk management and benefit programs in terms that are easy to understand, and we demonstrate how the solutions can have a positive economic impact.

Industry-Leading Programs, Rewards, and Recognition

In addition to competitive pay, incentives, and benefits, USI recognizes associates through our Summit Awards program, rewarding excellence in those who build our brand each day. USI offers employee programs that recognize outstanding achievement and help our associates lead healthy, productive lives. We turn care into action with our award-winning wellness program, college scholarships for associates' children, and financial help in times of need.

Deep Community Engagement

We are committed to giving back to our local communities and supporting a culture of environmental sustainability. From sharing our time, talent, and resources to support local non‑profit organizations, animal shelters, and environmental beautification and restoration projects – to partnering with eco‑conscious vendors and taking steps to reduce our own environmental footprint – we’re working together as ONE to build a better future.

Committed to a Diverse and Inclusive Workplace

Our award‑winning I'm With U diversity and inclusion program educates our associates to help them better understand and serve our clients, prospects, fellow team members, and local communities through curated education and training resources, employee support programs, and community outreach initiatives to build a more diverse, equitable, and inclusive culture.

Nationally Recognized as a Top Insurance Employer

• Recognized as one of Insurance Business America's Top Insurance Employers eight consecutive years (2018-2025).
• Named to Business Insurance's annual list of the Best Places to Work in Insurance six years in a row (2020-2025).
• Named to Fortune's Best Workplaces in Financial Services & Insurance list for the last two years (2024-2025).
• Certified as a Great Place To Work two years in a row (2024-2025).

Visit our Awards and Accolades page for a complete list of our latest industry awards and recognitions!

USI is committed to providing a full-suite of competitive benefits for our growing population and its diverse needs. We offer a wide range of health, welfare and financial benefits including medical, wellness, dental and vision, 401(k), flexible spending and health savings accounts, short and long-term disability, life insurance and other unique employer-sponsored and voluntary programs. USI also offers a generous paid time off policy, paid family leave benefit as well as 12 paid holidays.

This is a Paid Time Off/Paid Sick Leave eligible position. 18 days per year.

This is a bonus eligible position with a target incentive of 5%.

$115,000 - $135,000/annually