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.
What You Will DoIn 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 ForProfessional 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 TeamThe 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.
LocationThis 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.
CompensationThe 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.
BenefitsWe 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.
#LI-REMOTE
