Employee Benefits Pharmacy Solutions Consultant (Remote)

Usi, Inc.; United States; Remote; USD 110,000 - 170,000; Full time

Job summary

USI seeks a Pharmacy Solutions Consultant to act as a strategic advisory for complex PBM accounts, guiding financial and contractual decisions and building trusted client relationships. You will collaborate with Pharmacy Analysts to present data-driven recommendations and manage PBM RFPs, renewals, and implementations.

The role emphasizes formulary strategy, cost containment, and cross-functional collaboration with sales and analytics teams, with travel within the region and nationwide as needed.

Qualifications

• 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.

Responsibilities

• Provide consultative guidance on PBM financial and contractual decisions.
• Develop pharmacy benefit strategies and cost containment initiatives.
• Manage complex PBM accounts and RFPs, including bid development and negotiations.
• Review claims, utilization trends, and financial performance with Pharmacy Analysts.
• Oversee plan transitions, benefit configuration, and data management.
• Support business development through cross-selling and client presentations.
• Prepare performance reports, renewal recommendations, and RFP summaries.
• Facilitate client meetings and renewal discussions, virtually or on-site.

Skills

PBM contract structures

Pricing methodologies

Rebate arrangements

Formulary management

Vendor evaluation processes

Financial modeling concepts

Advanced Excel

Communication

Relationship management

Willingness to travel

Education

Bachelor’s degree preferred

Tools

Microsoft Office

Job description

Job ID

33004

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.

#LI-AM2

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).

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%.