PharmD Clinical Strategy Consultant - PBM

Capital Rx; New York (NY); On-site; USD 140,000 - 160,000; Full time

Job summary

Judi Health is seeking a Clinical Account Consultant to convert claims data, guidelines, and market shifts into data-driven recommendations. You will collaborate with executives and teams to enhance member outcomes and PBM performance across client lifecycles.

You will shape clinical strategy, operationalize recommendations, and develop client-ready materials for reviews and renewals across multiple locations, including NY, CO, and NC.

Qualifications

• Doctor of Pharmacy (PharmD) degree from an accredited institution.
• Active pharmacist license, or ability to obtain/maintain licensure as required.
• 3-5 years of experience in PBM, managed care, or health plan environments.
• Strong clinical knowledge of formulary management, utilization management, clinical programs, and pharmacy trend analysis.
• Experience analyzing pharmacy claims data and translating findings into actionable clinical recommendations.
• Ability to explain complex clinical concepts clearly to both clinical and non-clinical audiences.
• Strong written and verbal communication skills.
• Highly organized and able to manage multiple priorities in a fast-paced, cross-functional environment.
• Proficiency in Microsoft Office Suite, including Excel, and experience working with large data sets.
• Ability to travel and present to small and large groups; travel is estimated not to exceed 25%.

Responsibilities

• Translate treatment guidelines, pipeline developments, and market trends into client strategy and assess its clinical impact.
• Operationalize approved recommendations with internal teams so clinical intent is reflected in formulary changes and utilization management initiatives.
• Review disruption analyses, clinical readiness materials, and post-go-live outputs to support accurate execution and a strong client/member experience.
• Build client-ready clinical content for quarterly business reviews, strategic reviews, renewals, finalist presentations, and other client needs.

Skills

PBM experience

Clinical data analysis

Formulary management

Communication

Travel readiness

Education

Doctor of Pharmacy (PharmD)

Tools

Excel

Microsoft Office

Job description

Judi Health is seeking a Clinical Account Consultant to convert claims data, guidelines, and market shifts into data-driven recommendations. You will collaborate with executives and teams to enhance member outcomes and PBM performance across client lifecycles.

You will shape clinical strategy, operationalize recommendations, and develop client-ready materials for reviews and renewals across multiple locations, including NY, CO, and NC.