PBM Strategy & Implementation Consultant

Lumen Solutions Group Inc.; Baltimore (MD); Remote; USD 110,000 - 125,000; Full time

Job summary

A leading company is seeking a hands-on PBM Strategy & Implementation Consultant to drive high-impact transitions. This role focuses on managing PBM implementations and pharmacy supply chain strategies while collaborating across teams to ensure effective execution and stakeholder engagement. Candidates should have a strong background in PBM operations and excellent communication skills to influence C-level stakeholders. Join this empowered team to drive real change in a dynamic environment.

Qualifications

• 5-10+ years in PBM operations, health plan strategy, or pharmacy supply chain.
• Must have led at least one end-to-end PBM transition.
• Demonstrated ability to influence C-level stakeholders.

Responsibilities

• Lead end-to-end PBM and supply chain implementation.
• Manage PBM and pharmacy supply chain contracts and vendor relationships.
• Build value stories showing ROI and service enhancements.

Skills

Claims adjudication

Formulary management

Rebates/Discount strategy

Pharmacy network design

Education

MBA or graduate degree in healthcare/business

Job description

4 days ago Be among the first 25 applicants

Contract-to-Hire

C2C: Up to $166/hr

About the Role:

We’re looking for a

Hiring: PBM Strategy & Implementation Consultant

Primarily Remote | Contract-to-Hire

W2: Up to $142/hr | C2C: Up to $166/hr

About the Role:

We’re looking for a hands-on leader with deep expertise in PBM implementations and pharmacy supply chain strategy to lead a high-impact transition initiative. This role is perfect for someone who thrives in ambiguity, influences senior stakeholders, and drives strategy from concept to execution.

Must have led PBM transitions — not just supported or observed.

Core Responsibilities:

Strategy Execution & Leadership

• Lead the end-to-end PBM and supply chain implementation including execution planning, stakeholder alignment, and readiness efforts.
• Drive day-to-day delivery while partnering with business sponsors, IT, PMO, and vendors.
• Own business milestones and execution timelines.
  
  

Contracts & Vendor Management

• Manage PBM and pharmacy supply chain contracts, SOWs, and vendor relationships.
• Monitor and influence vendor performance, addressing risks and implementation challenges swiftly.
  
  

Business Value & Reporting

• Build and communicate a clear value story, showing ROI, savings, and service enhancements.
• Track value realization and continuously refine strategy to maximize impact.
  
  

Cross-Functional Leadership

• Collaborate across business, IT, PMO, and vendor teams to ensure operational integration and readiness.
• Translate business goals into actionable tasks and prepare impacted teams through communication, training, and documentation.
  
  

Risk & Performance Optimization

• Identify operational gaps and offer data-backed recommendations to improve efficiency, cost control, and compliance.
• Lead mitigation planning, proactively managing business risks and escalations.
  
  

Must-Have Qualifications:

• 5-10+ years in PBM operations, health plan strategy, or pharmacy supply chain.
• Led at least one end-to-end PBM transition (not just advisory roles).
• Deep hands-on experience in:
• Claims adjudication
• Formulary management
• Rebates/Discount strategy
• Pharmacy network design
• Experience in commercial health plans (Medicare/Medicaid is a plus).
• Demonstrated ability to influence C-level stakeholders and vendors.
  
  

Preferred Skills & Experience:

• Worked with Caremark or another major PBM.
• Hands-on experience with rebate contracts or negotiation.
• Familiarity with Medicare Part D, Medicaid, or UM workflows (e.g., prior auth, step therapy).
• MBA or graduate degree in healthcare/business is a plus.
  
  

Ideal Candidate Traits:

• Drives execution — doesn’t wait for direction.
• Can jump into ambiguous, evolving projects and shape structure.
• Manages up, down, and across functions seamlessly.
• Balances strategic thinking with hands-on execution.
  
  

Ready to own a high-visibility PBM transformation and make measurable impact in a lean, empowered team?

#PBM #PharmacyStrategy #HealthPlan #Rebates #Claims #PharmacyOperations #PBMImplementation #PharmaJobs #ContractToHire #RemoteJobs

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Other

• Industries

  IT Services and IT Consulting

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