Director Utilization Management Jobs in Colorado

Description

Senior Consultant, Pharmacy

AArete is one-of-a-kind when it comes to consulting firm culture

We're a global, innovative management and technology consulting firm with offices in the U.S. and India. Our name comes from the Greek word for excellence: "Arete." And excellence is exactly what we strive for.

We're celebrating our fourth year as one of Forbes' World's Best Management Consulting Firms - and our success starts with our people. From robust career development planning to competitive life and wellness benefits, AArete's "Culture of Care" takes a holistic approach to the employee experience.

AAretians (our team members) are leaders at every level. You are encouraged to unlock your full potential by directly contributing to our mission and prioritizing personal development and fulfillment.

The Role

Lead pharmacy program initiatives and implementation efforts, helping clients execute complex operational and strategic projects. Work with PBM migrations, system implementations, or large-scale pharmacy transformation initiatives.

Work You'll Do

• Lead the development,identificationand root causeof pharmacy opportunities through remediation with clientcounterparts
• Staying up to date on current events, changes in regulatory requirements and market trendsimpactinghealth plan reimbursement
• Exercise excellent judgement and clear and direct communication in all aspects of your work
• Work in a matrix management environment as a member of the pharmacy team, supporting multiple projects and actively participating in client-facing meetings
• Drive the design and delivery of opportunities to reduce payer drug costs, partnering closely with internal teams to implement recommendations
• Utilize analytics to uncover trends across pharmacy and medical drug spend, applying your knowledge of drug pricing and reimbursement methodologies (AWP, WAC, NADAC, MAC, CMS ASP), formulary strategy, and utilization management programs
• Support the advancement of automation and improved workflows in pharmacy analytics, reporting, and operational processes
• Maintain knowledge on regulatory changes, drug pricing updates, compendia changes, and market trends that impact pharmacy benefit strategy and clinical programs
• Prepare client-ready deliverables
• Apply strong critical thinking and analytics skills to identify patterns, inconsistencies, and opportunities within pharmacy and medical claims and develop practical recommendations and strategies for clients.
• Other duties as assigned

Requirements

• 4+ years of experience ina role withinpharmacy, PBM, pharmacy consulting or managed care organization
• Strong professional communication skills, including written, verbal, interpersonal, and in-person presentationexpertise
• Doctor of Pharmacy (PharmD)
• Experience coaching and mentoring team members
• Advanced proficiency in Microsoft Excel for data analysis and insights development
• Strong analytical, data interpretation, and problem-solving skills
• Ability toidentifyclient savings opportunities and develop actionable insights or business cases
• Bachelor's degree or equivalent
• Must be legally authorized to work in the United States without the need for employer sponsorship

Preferred Requirements

• Experience in healthcare systems and digital platforms, Claims Adjudication and related tools, with the ability to leverage these systems to improve data quality, operational efficiency, and end-to-end healthcare processes
• Expertisein pharmacy operations
• Basic/intermediate SQL for data analysis
• Demonstrated experience in pharmacy benefit management inclusive of benefit design, formulary strategy, utilization management programs, clinical programs PBM contracting, and analytics and reporting
• Track record in pharmacy and medical drug utilization analysis, cost containment, or value-based pharmacy strategy
• Based in Chicago, IL, and flexible to work from our Chicago office as needed

Compensation & Benefits

• Flexible PTO, monthly half-day refuels, volunteer time off, 10 paid holidays
• Own Your Day flexible work policy
• Competitive majority employer-paid benefits: Medical, Dental, Vision, 401K Match
• Generous paid parental leave options
• Employer-paid Life Insurance, Short Term Disability, Long Term Disability
• Charitable contribution matching program
• New client commission opportunities and referral bonus program
• Bike share discount program

The estimated base salary range for this position is $125,000 - $150,000. In addition to this base salary, individuals may be eligible for an annual discretionary bonus. This range is a part of a competitive, total compensation package together with our majority employer-paid benefits and incentive pay for eligible roles. Please note that this range is a guideline, and individual total compensation may vary due to numerous factors, including but not limited to experience level, certifications, and other relevant business considerations.

AArete will accept applications until the position is filled. The job posting will be removed once the role is no longer available.

We put humans at the center of our work

We're a global management and technology consulting firm specializing in strategic profitability improvement, digital transformation, and strategy & change for clients. Our cross-industry solutions are powered by a digital-first mindset, market intelligence, and data-driven approach to deliver purposeful change, actionable insights, and guaranteed results.

But what sets us apart is our people. We are guided by our deeply embedded guiding principles: Excellence, Passion, Loyalty to Clients, Stewardship, Family, Community, Sustainability, and Inclusion.

And we've been recognized as a top firm to work for by companies like Forbes, Top Workplaces Chicago Tribune, and Consulting Magazine.

We've earned a Great Place to Work Certification and been named a World's Best Management Consulting Firm by Forbes, Vault's Top 50 Firms to Work For, Crain's Chicago Business Fast 50, Inc 5000's Fastest Growing Firms, and Consulting Magazine's Fastest Growing Firms.

Learn more about our award-winning culture

AArete, LLC ("AArete") may utilize Artificial Intelligence/Automated Decision-Making Technology/Automated Employment Decision Technology tools and resources ("AI" or "tools" or "resources") to assist humans in generating job descriptions and postings, recruitment, analyzation of information, screening candidates, evaluation of candidate information, and assisting humans in the selection of potential candidates by all levels of AArete employees for all positions.

AArete may use Microsoft Co-Pilot, OpenAI ChatGPT, Anthropic Claude, Google Gemini, LinkedIn Recruiter AI and Hiring Assistant, Jobvite Talent Fit and AArete HireSense. AArete may use all the information you provide. Submission of information to AArete shall serve as consent to AArete's use of AI tools and resources. AArete complies with all applicable law and does not use AI to discriminate against any individual and does not use location or geographic data like zip codes to act in a discriminatory or illegal manner. Your personal data may be used in relation to prospective employment with AArete and will only be retained for so long as legally necessary.

AArete shall comply with its posted privacy policies and candidates may contact Recruiting or Privacy Departments, as identified below, to request accommodations or to exercise any of your applicable rights, pursuant to applicable law:

Recruiting: [emailprotected]

Privacy: [emailprotected]

We are an Equal Employment Opportunity Employer

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

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