Senior Pharmacy Benefits Consultant – PBM Strategy

Usi, Inc.; United States; On-site; USD 115,000 - 135,000; Full time

Benefits offered by this job

Paid time off

Paid holidays

Bonus eligible (5% target incentive)

Job summary

USI is seeking a Pharmacy Solutions Consultant to act as a strategic advisor for complex PBM accounts, guiding financial and contractual decisions, and building trusted client relationships to optimize cost, plan performance, and long-term satisfaction. You will collaborate with Pharmacy Analysts to deliver data-driven recommendations and drive successful PBM solutions.

Ideal candidates have 6+ years in pharmacy benefits or PBM consulting, strong Excel and communication skills, and willingness

Qualifications

• Six+ years of experience in pharmacy benefits, PBM account management, or related fields.
• Bachelor’s degree preferred; equivalent education and experience considered.
• Experience in client service or consulting in employee benefits or pharmacy benefits preferred.
• Strong knowledge of PBM contract structures, pricing methodologies, rebate arrangements, formulary management, and vendor evaluations.
• Experience with PBM contract structures and market checks.

Responsibilities

• Manage highly complex PBM accounts with varied contract structures and plan designs.
• Serve as primary client contact for PBM-related matters and support retention and growth.
• Provide advanced PBM financial and contractual consulting including rebates, discounts, and fees.
• Collaborate with Pharmacy Analysts to review claims, utilization trends, and financial performance.
• Manage RFPs, market checks, renewals, and contract negotiations.
• Oversee PBM implementations, plan transitions, and data management.
• Develop and advise on formulary management, specialty pharmacy, and cost containment strategies.
• Provide PBM regulatory and market expertise to clients and sales teams.
• Support business development through cross-selling pharmacy consulting services.
• Prepare client deliverables like performance reports and renewal recommendations.
• Facilitate meetings including stewardship reviews, renewal discussions, and on-site presentations.
• Participate in peer reviews to ensure quality of services.
• Develop communications and training materials for client education and internal teams.
• Maintain expertise on PBM developments and regulatory changes.

Skills

Strategic advisory

PBM account management

Client relationship management

Negotiation

Financial analysis

Communication skills

Travel willingness

Education

Bachelor’s degree or equivalent

Tools

Microsoft Office

Excel

Financial modeling tools

Job description

USI is seeking a Pharmacy Solutions Consultant to act as a strategic advisor for complex PBM accounts, guiding financial and contractual decisions, and building trusted client relationships to optimize cost, plan performance, and long-term satisfaction. You will collaborate with Pharmacy Analysts to deliver data-driven recommendations and drive successful PBM solutions.

Ideal candidates have 6+ years in pharmacy benefits or PBM consulting, strong Excel and communication skills, and willingness