Pharmacy Benefits Strategy Consultant

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

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.