Description and RequirementsAbout the Role:The Pharmacy Solutions Consultant is a strategic advisor and client-facing expert for complex pharmacy benefit accounts. In this role, you will provide consultative guidance on Pharmacy Benefit Manager (PBM) financial and contractual decisions, develop pharmacy benefit strategies, and build trusted client relationships to support cost management, plan performance, and long-term satisfaction. You will work closely with Pharmacy Analysts, who provide specialized data analysis, financial modeling, and technical support.
What You'll Do:- Manage highly complex pharmacy benefit accounts with multiple PBM contract structures, funding arrangements, and customized plan designs.
- Serve as the primary client contact or escalation resource for PBM-related matters, delivering proactive consulting and account management to support client retention and growth.
- Provide advanced PBM financial and contractual consulting, including pricing guarantees, rebate structures, discounts, administrative fees, contract language, and performance against negotiated terms.
- Partner with Pharmacy Analysts to review and present pharmacy claims, utilization trends, financial performance, specialty pharmacy spend, rebate outcomes, and plan performance data, translating findings into actionable recommendations.
- Manage PBM RFPs, market checks, vendor evaluations, renewals, and contract negotiations, including bid development, financial review, and implementation planning.
- Oversee PBM implementations, plan transitions, benefit configuration, eligibility coordination, data file management, and ongoing account support.
- Develop and advise on pharmacy benefit strategies related to formulary management, specialty pharmacy, utilization management, clinical programs, and cost containment initiatives.
- Provide pharmacy benefit, regulatory, and market expertise to clients, account management team members, and Sales Executives.
- Represent client interests in internal strategy discussions and coordinate support from Pharmacy Analysts and clinical, actuarial, and technical pharmacy resources.
- Support business development efforts through cross-selling initiatives and expansion of pharmacy consulting services.
- Prepare and oversee client deliverables, including performance reports, financial analyses, renewal recommendations, RFP summaries, and client presentations.
- Facilitate client meetings, including stewardship reviews, renewal discussions, and PBM finalist presentations, both virtually and on-site.
- Participate in peer review activities to ensure the quality, consistency, and effectiveness of pharmacy consulting services.
- Develop communications and training materials to support client education and internal team development.
- Maintain expertise on PBM developments, drug pipeline trends, regulatory changes, and emerging pharmacy benefit strategies to proactively advise clients and strengthen the pharmacy consulting practice.
What We're Looking For:- 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.
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USI is committed to providing a full-suite of competitive benefits for our growing population and its diverse needs. We offer a wide range of health, welfare and financial benefits including medical, wellness, dental and vision, 401(k), flexible spending and health savings accounts, short and long-term disability, life insurance and other unique employer-sponsored and voluntary programs. USI also offers a generous paid time off policy, paid family leave benefit as well as 12 paid holidays.
This is a Paid Time Off/Paid Sick Leave eligible position. 18 days per year.
This is a bonus eligible position with a target incentive of 5%.
$115,000 - $135,000/annually
