Pharmacy Consulting Analyst - Remote

Key Responsibilities

• Support PBM RFP processes including preparation, distribution, evaluation, and recommendation development.
• Contribute to vendor negotiations, including pricing, rebate structures, and contract terms.
• Act as a subject matter resource on PBM pricing models, formulary strategies, and specialty drug management.
• Analyze pharmacy claims data to identify utilization trends, cost drivers, and savings opportunities.
• Create financial models evaluating plan design changes and procurement strategies.
• Create client-ready deliverables including reports, summaries, and presentations.
• Compile and maintain reporting on claims experience, high-cost medications, and spend trends.
• Ensure accuracy and quality of data outputs and client deliverables.
• Care for data exchanges between PBMs, clients, and internal teams.
• Support consulting teams with materials for client meetings and strategy sessions.
• Facilitate issue resolution and ensure alignment across stakeholders.
• Participate in strategic initiatives including PBM transitions, implementations, and optimization efforts.
• Support project coordination activities such as scheduling, timeline tracking, and deliverable management.
• Identify opportunities to improve analytics, reporting processes, and workflows.
• Maintain quality, compliance, and data integrity across all outputs.
• Ensure timely execution of project deliverables and client commitments.
• Build collaborative relationships across internal teams and external partners.

Qualifications

• Bachelor’s degree in Business, Healthcare Administration, Economics, or related field.
• 3+ years of experience in pharmacy benefits, PBM consulting, analytics, or related area.
• Strong understanding of PBM pricing, rebates, formulary management, and specialty drug strategies.
• Advanced analytical and financial modeling skills.
• Proficiency in Excel and data visualization tools such as Tableau or Power BI.

Key Competencies

• Strategic & Systems Thinking
• Ownership & Accountability
• Data-Driven Decision Making
• Process Improvement
• Collaboration & Communication
• Change Agility
• Business Acumen