Senior PBM Strategy and Implementation Consultant

Job Description

Client is looking fora Senior PBM Strategy and Implementation Consultant to support theimplementation of a new pharmacy benefits manager (PBM) and financial model.This role will report directly to the VP of Pharmacy Management and serve asthe business lead throughout an 18-month implementation process. The consultantwill work cross-functionally with internal stakeholders, including IT, project management, operations, and external implementation vendors. Responsibilities include ensuring project deliverables are met, managing execution and alignment, and collaborating with both incumbent and new PBM vendors.

Required:

Experience in project leadership and execution in matrix environments

Direct experience with Pharmacy Benefit Manager implementations (hands-on, not advisory only)

Strong understanding of the Pharmacy Benefit Manager industry: financial models(discounts, rebates), operations (formulary, claims adjudication, network mgmt.)

Experience supporting pharmacy benefits in a Commercial line of business (required,Medicare and Medicaid are a plus)

Nice to have:

Experience across Medicare, Medicaid, and commercial lines of business

Previous roles with health plans or PBMs

Full-time