Senior Consulting Pharmacist
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Senior consulting pharmacist analyzing pharmacy claims and PBM strategies for Milliman’s healthcare consulting clients. Leading projects, business development, and consulting staff.
Responsibilities:
- Design and manage data-driven analyses using pharmacy claims data and complex modeling
- Focus on PBM selection, contracting and management, and pharmacy plan design
- Explain results and provide insights to clients orally and through concise client reports
- Oversee projects to ensure expectations, timelines, and budgets are met
- Develop new business with current and prospective clients
- Provide subject matter expertise and remain current on marketplace trends
- Maintain a professional network and promote the organization at industry meetings, forums, panels, and conferences
- Manage and develop consulting staff, including assigning and reviewing work and providing guidance
- Collaborate with practice leaders on staff management and development
- Conduct performance appraisals and compensation reviews
Requirements:
- 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
- Strong time management and people management skills
- Adaptability and integrity in a dynamic environment
- Strong technical communication skills, written and oral
- Legally authorized to work in the United States without immigration support or sponsorship from Milliman now or in the future
Benefits:
- Medical, Dental and Vision coverage for employees, dependents, and domestic partners
- Employee Assistance Program (EAP)
- 401(k) plan with company matching and profit-sharing contributions
- Discretionary Bonus Program
- Flexible Spending Accounts (FSA) for dependent care, transportation, and eligible medical expenses
- Paid Time Off (PTO); full-time employees accrue 15 days per year
- Minimum of 10 paid holidays per year
- Adoption and fertility assistance
- 11 weeks of paid parental leave for eligible employees
- Life Insurance & AD&D with 100% of premiums covered by Milliman
- Fully paid short-term and long-term disability
- Skills training and career development
- Learning and mentoring opportunities
- Employee Resource Groups (ERGs)
Similar Jobs
Senior Pharmacy Prior Authorization Representative
Pharmacy prior authorization representative supporting fertility patients and clinics for Evernorth Health Services. Processing claims, benefits, and authorizations across pharmacy and clinical systems.
Pharmacy Strategy Advancement Advisor
Pharmacy Strategy Advancement Advisor guiding data-driven strategy and business intelligence for Humana’s U.S. healthcare services. Leading complex analysis, recommendations, and executive-facing initiatives.
Certified Pharmacy Technician, Illinois
Certified Pharmacy Technician supporting members, providers, and pharmacies with claims, benefits, and prior authorizations. Gainwell delivers healthcare technology and services through remote pharmacy operations.
Certified Pharmacy Technician
Certified Pharmacy Technician supporting Gainwell’s healthcare programs with pharmacy claims, benefits, and prior authorizations. Resolving member and provider inquiries remotely while maintaining compliant documentation.
Pharmacy Technician
Part-time remote Pharmacy Technician transcribing prescription and diagnosis data into web applications. Supporting CVS Health’s patient-focused standardized health documentation.
Specialty Pharmacy Technician, CPhT/ExCPT
Remote Specialty Pharmacy Technician enrolling patients, managing prescriptions, and supporting prior authorizations for Lumicera specialty pharmacy. Handling patient and provider calls while maintaining accurate pharmacy records.
Pharmacy Technician I
Remote Pharmacy Technician I handling refill requests, pharmacy coordination, and patient support for Oak Street Health. Managing calls, prescriptions, appointments, and care-team updates.
Pharmacy Health Representative
Pfizer Pharmacy Health Representative driving strategic pharmacy sales and brand execution across North Brisbane. Building pharmacy relationships, managing account plans, and achieving sales targets.
Pharmacist
Pharmacist overseeing technicians, prescriptions, and USP 795/800 compounding at Revelation Pharma. Managing medication quality, inventory, and patient/provider consultations.
Clinical Pharmacist
Clinical Pharmacist improving medication adherence and quality measures for Healthfirst’s Essential Plan and Medicare members. Supporting outreach, regulatory compliance, and clinical pharmacy initiatives.
Pharmacy Technician, CPhT
Remote CPhT handling medication renewals for HarmonyCares’ in-home primary care patients. Supporting centralized patient advocacy, EMR documentation, and prescription workflows.
Clinical Pharmacist – Cost Containment
Clinical Pharmacist optimizing medication utilization and cost-containment programs for TrueScripts, a transparent prescription benefit manager. Analyzing clinical and financial outcomes while supporting PBM operations.
Clinical Review Pharmacist
Clinical Review Pharmacist reviewing prior authorizations and appeals for SmithRx’s technology-driven pharmacy benefit management platform. Supporting members, providers, pharmacies, and clinical programs remotely.
Pharmacy Assistant
Remote Pharmacy Assistant processing prescriptions, inventory, billing, and medication shipments. Supporting Sentrex Health Solutions’ Canadian specialty pharmacy and patient-support programs.
Pharmacist
Remote Canadian Pharmacist dispensing specialty medications and supporting clinics for Sentrex Health Solutions. Managing prescription verification, patient counselling, billing, inventory, and compounding.
Associate Director – Pharmacy Hub Operations
Associate Director launching and leading patient and provider service operations for CenterWell Pharmacy. Managing omnichannel support, workforce performance, quality, compliance, and complex resolutions.
Healthcare Consulting Associate – Pharmacy
Healthcare consulting associate leading pharmacy project workstreams for Huron. Improving hospital operations, clinical outcomes, cost structures, and sustainable performance through data-driven recommendations.
Pharmacist 2, Inpatient – Centralized Order Verification for the Enterprise
Inpatient Pharmacist verifying enterprise medication orders for the University of Rochester medical center. Supervising dispensing, clinical pharmacy care, technicians, and medication safety processes.
Clinical Pharmacist
Clinical Pharmacist optimizing medication therapy and chronic disease outcomes through WellDyne’s clinical programs. Conducting patient consultations, drug reviews, and provider engagement remotely.
Pharmacy Intern
Unpaid part-time Pharmacy Intern supporting Humana’s healthcare and insurance services remotely in South Carolina. Completing pharmacy assignments while pursuing formal education.