PBM Strategy & Implementation Consultant

Jobs via Dice; Baltimore (MD); Remote; USD 110,000 - 125,000; Full time

Job summary

A leading company is seeking a PBM Strategy & Implementation Consultant for a primarily remote contract-to-hire position. The ideal candidate will possess a strong background in pharmacy supply chain strategy, with experience in leading transitions and managing contracts. Responsibilities include executing strategy, collaborating with stakeholders, and optimizing performance. This is an excellent opportunity for a hands-on leader ready to make a significant impact in a dynamic environment.

Qualifications

• 5-10+ years in PBM operations, health plan strategy, or pharmacy supply chain.
• Led at least one end-to-end PBM transition.
• Deep hands-on experience in claims adjudication and formulary management.

Responsibilities

• Lead end-to-end PBM and supply chain implementation.
• Manage contracts and vendor relationships.
• Build and communicate a clear value story showing ROI.

Skills

Leadership

Strategy Execution

Stakeholder Management

Risk Management

Education

MBA or graduate degree in healthcare/business

Job description

4 days ago Be among the first 25 applicants

Dice is the leading career destination for tech experts at every stage of their careers. Our client, Lumen Solutions Group Inc., is seeking the following. Apply via Dice today!

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

  Information Technology

• Industries

  Software Development

Referrals increase your chances of interviewing at Jobs via Dice by 2x

Sign in to set job alerts for “Implementation Consultant” roles.

Maryland, United States $110,000.00-$125,000.00 6 days ago

Dynamics 365 Technical Consultant - Only W2

Solution Consultant 2 - Federal Civilian

Technical Consultant Level 2 (FORECASTED)

Annapolis Junction, MD $7,000.00-$20,000.00 10 hours ago

Principal Workfront Implementation Consultant

Maryland, United States $162,200.00-$309,900.00 1 week ago

Maryland, United States $114,632.00-$161,159.00 4 months ago

Maryland, United States $61,010.00-$78,000.00 10 hours ago

Workforce Business Analyst II: Staffing and Scheduling/Time and Attendance

Microsoft Dynamics 365 Technical Consultant - Only W2

Baltimore, MD $102,890.67-$139,637.34 1 month ago

Maryland, United States $62,700.00-$94,100.00 6 days ago

Hunt Valley, MD $100,000.00-$120,000.00 1 day ago

ServiceNow ITOM / ITAM / ITSM Technical Consultant

Maryland, United States $59,900.00-$89,900.00 3 days ago

Baltimore, MD $107,600.00-$198,400.00 2 weeks ago

Technical Consultant II (TS/SCI with Poly)

323 - Business Analyst - (FDA) Experience Required

Columbia, MD $80,000.00-$120,000.00 1 month ago

Senior Appian Consultant / Technical Lead

Maryland, United States $114,632.00-$161,159.00 8 months ago

Fort Meade, MD $155,600.00-$272,400.00 1 week ago

Maryland, United States $114,200.00-$212,000.00 1 week ago

Baltimore, MD $110,000.00-$115,000.00 2 weeks ago

Technical Consultant II (TS/SCI with Poly)

We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.