Senior Pharmacy Benefit Consultant, Health Plan
New
Based in the United StatesFull-TimeSenior
Salary180,000 - 200,000 USD per year
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Job Details
- Experience
- 3–5+ years
- Required Skills
- Project ManagementData AnalysisMicrosoft Excel
Requirements
- 3–5+ years of experience working in pharmacy benefits, pharmacy management, managed care, or healthcare consulting environments.
- Bachelor’s degree in pharmacy, healthcare, business, or a related field required.
- Strong understanding of pharmacy benefit management, payer strategies, and healthcare industry operations.
- Experience developing strategies and implementing programs for large-scale pharmacy and medical benefit plans.
- Ability to analyze complex business challenges and provide practical, data-driven recommendations.
- Strong financial analysis skills, including advanced proficiency with Microsoft Excel.
- Experience preparing client-facing presentations, reports, and strategic communications using Microsoft Word and PowerPoint.
- Excellent verbal and written communication skills.
- Strong project management and organizational skills with the ability to work independently.
- Experience managing client relationships and leading consulting engagements.
Responsibilities
- Lead end-to-end consulting projects for health plan clients, including strategy development, research, analysis, execution, and client presentations.
- Manage client relationships by understanding business objectives, developing customized strategies, and ensuring high levels of satisfaction and retention.
- Provide data-driven insights and recommendations using industry research, analytics, and pharmacy market intelligence.
- Conduct assessments of pharmacy benefit programs, including organizational reviews, vendor evaluations, process analyses, and clinical improvement initiatives.
- Review pharmacy benefit manager (PBM) and vendor contracts, identify opportunities for improvement, and support negotiations to achieve favorable outcomes.
- Lead procurement processes, including request for proposal (RFP) development, vendor evaluations, selection processes, and implementation planning.
- Develop strategic plans that address short-term priorities and long-term healthcare benefit goals.
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