Senior Consulting Pharmacist

Milliman; San Diego (CA); Remote; USD 207,000 - 352,000; Full time

Benefits offered by this job

Medical, Dental and Vision

401(k) Plan with company match

Discretionary Bonus Program

Flexible Spending Accounts

Paid Time Off

Holidays

Family Building Benefits

Paid Parental Leave

Life Insurance & AD&D

Disability coverage

Job summary

Milliman in San Diego is seeking a Senior Consulting Pharmacist for its Health practice. You will design data-driven analyses using PBM and pharmacy claims data, provide clear client reports, and lead project teams to meet timelines and budgets.

You will develop new business by understanding client needs, stay current on industry trends, and mentor consulting staff while collaborating with practice leaders on performance reviews. Remote work options may apply within the US.

Qualifications

• PharmD from an ACPE accredited program.
• Minimum of fifteen years PBM or healthcare experience.
• Proficiency in Microsoft Excel and the Microsoft Office suite.
• Ability to explain PBM performance indicators and pharmacy data clearly.
• Knowledge of formularies, pharmacy claims data and their nomenclatures, including NDC, AWP, PBM, WAC, etc.
• Understanding of claims data and adjudication processes.

Responsibilities

• Design and manage data-driven analyses using pharmacy claims data and complex modeling.
• Explain results and provide insights to clients in reports and presentations.
• Oversee projects to ensure timelines and budgets are met.
• Develop new business with current and prospective clients through understanding their needs.
• Maintain knowledge of market trends and represent the organization at industry meetings.
• Manage and develop consulting staff, including assigning work and providing guidance.
• Collaborate with practice leaders on staff management and performance reviews.

Skills

PBM expertise

Pharmacy benefits knowledge

Time management

People management

Technical communication

Excel

Microsoft Office

Education

PharmD (ACPE accredited)

Tools

Microsoft Office

Job description

We are looking for a Senior Consulting Pharmacist for our growing pharmacy benefits consulting team in our San Diego Health practice. Pharmacy benefits consulting work is, by nature, constantly changing and rarely routine. Applicants must have a deep understanding of pharmaceuticals and pharmacy benefits management (PBM) and feel comfortable working in an environment that requires attention to detail, collaboration, integrity, and adaptability.

Who We Are

Independent for over 75 years, Milliman delivers market-leading services and solutions to clients worldwide. Today, we are helping companies take on some of the world’s most critical and complex issues, including retirement funding and healthcare financing, risk management and regulatory compliance, data analytics, and business transformation.

Milliman invests in skills training and career development and gives all employees access to a variety of learning and mentoring opportunities. Our growing number of Milliman Employee Resource Groups (ERG’s) are employee-led communities that influence policy decisions, develop future leaders, and amplify the voices of their constituents. We encourage our employees to give back to their varied professions, including leadership in professional organizations. Please visit our web site ( https://www.milliman.com/en/social-impact ) to learn more about Milliman’s commitments to our people, inclusion, and sustainability.

Through a team of professionals ranging from actuaries to clinicians, technology specialists to plan administrators, we offer unparalleled expertise in employee benefits, investment consulting, healthcare, life insurance and financial services, and property and casualty insurance.

What You Will Do

In this role, you will:

• Design and manage data-driven analyses using pharmacy claims data and complex modeling, specifically focusing on strategic pharmaceutical challenges like PBM selection, contracting & management, and pharmacy plan design
• Explain results and provide valuable insights to clients, both orally and in clear, concise client reports
• Oversee projects to ensure expectations, timelines, and budgets are being met
• Develop new business with current and prospective clients through deep understanding of their specific needs and circumstances
• Provide subject matter expertise and remain current on trends in the marketplace. Maintain a strong network and promote the organization at various industry meetings, forums, panels, and conferences
• Manage and develop consulting staff, including assigning and reviewing work, and providing guidance.
• Work with other practice leaders on staff management and development and be responsible for conducting performance appraisals and compensation reviews.

What We Are Looking For

Professional Qualifications

• PharmD from an ACPE accredited program
• Minimum of fifteen years PBM or healthcare experience
• Working knowledge of Microsoft Office suite, including proficiency in Excel
• Proficiency working with and explaining movements in key PBM performance indicators and pharmacy claims statistics
• Knowledge of formularies, pharmacy claims data and their nomenclatures, including NDC, AWP, PBM, WAC, etc.
• Knowledge of claims data and how these manifest in claim adjudication and downstream analyses

Personal Qualifications

• Strong time management and people management skills
• Experience working in a dynamic environment, demonstrating adaptability and integrity
• Strong technical communication skills, written and oral

Individual(s) must be legally authorized to work in the United States without the need for immigration support or sponsorship from Milliman now or in the future.

The Team

The San Diego Health practice includes employees with diverse areas of experience and expertise in the pharmacy space. Current employees include those that have worked as actuaries, PBM analysts/consultants, pharmacists, and pharmacy technicians.

Location

This role is based out of the Milliman office in San Diego, California, but candidates hired into this role may work remotely anywhere in the US. The expected application deadline for this job is November 13, 2026.

Compensation

The overall national range for this role is $207,264 - $352,308.

A combination of factors will be considered, including, but not limited to, education, relevant work experience, qualifications, skills, certifications, etc.

We offer a comprehensive benefits package designed to support employees’ health, financial security, and well-being. Benefits include:

• Medical, Dental and Vision – Coverage for employees, dependents, and domestic partners.
• Employee Assistance Program (EAP) – Confidential support for personal and work-related challenges.
• 401(k) Plan – Includes a company matching program and profit-sharing contributions.
• Discretionary Bonus Program – Recognizing employee contributions.
• Flexible Spending Accounts (FSA) – Pre-tax savings for dependent care, transportation, and eligible medical expenses.
• Paid Time Off (PTO) – Begins accruing on the first day of work. Full-time employees accrue 15 days per year, and employees working less than full-time accrue PTO on a prorated basis.
• Holidays – A minimum of 10 paid holidays per year.
• Family Building Benefits – Includes adoption and fertility assistance.
• Paid Parental Leave – 11 weeks of paid leave for employees who meet eligibility criteria.
• Life Insurance & AD&D – 100% of premiums covered by Milliman.
• Short-Term and Long-Term Disability – Fully paid by Milliman.

All qualified applicants will receive consideration for employment, without regard to race, color, religion, sex, sexual orientation, national origin, disability, or status as a protected veteran.

#LI-REMOTE

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
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