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Pbm Consultant Jobs (NOW HIRING)

Work closely with audit, analytics, and consulting teams to align RFP outputs with downstream audit ... Deep understanding of PBM financial models, including: * AWP discounts, MAC pricing, and ingredient ...

... consultative, and social capacity at appropriate trade shows, conferences, and industry events when it is necessary. · Prepare and maintain records for leads and performance toward goals, including ...

Senior CSM, PBM

$125K - $145K/yr

Senior CSM, PBM Remote About The Role We are seeking a dynamic and experienced Senior Client ... Detail-oriented, consultative and presentation skills, excellent communication & organization ...

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Pbm Consultant information

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$10

$41

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How much do pbm consultant jobs pay per hour?

As of Jul 3, 2026, the average hourly pay for pbm consultant in the United States is $41.55, according to ZipRecruiter salary data. Most workers in this role earn between $29.33 and $49.52 per hour, depending on experience, location, and employer.

What does a PBM Consultant do?

A PBM (Pharmacy Benefit Management) Consultant provides expertise on pharmacy benefits, helping organizations optimize drug plan costs, improve efficiency, and ensure compliance with regulations. They analyze pharmacy claims data, negotiate contracts with PBMs, and recommend strategies to enhance cost savings and patient outcomes. PBM Consultants often work with employers, health plans, or government agencies to design and oversee prescription drug benefit programs. Their role requires strong knowledge of healthcare policies, industry trends, and pharmacy benefit structures.

What are the key skills and qualifications needed to thrive in the Pbm Consultant position, and why are they important?

To excel as a PBM Consultant, you need a strong background in pharmacy benefit management, healthcare analytics, and benefit plan design, typically supported by a degree in pharmacy, healthcare administration, or a related field. Experience with PBM software platforms, claims processing systems, and knowledge of regulatory requirements such as HIPAA are crucial. Exceptional analytical thinking, effective communication, and the ability to build rapport with clients are highly valued soft skills. These competencies ensure consultants can effectively optimize drug benefit programs, maintain compliance, and deliver valuable solutions to clients.

What are some typical challenges a PBM Consultant faces in their day-to-day work?

PBM Consultants often navigate complex pharmaceutical benefit structures and must stay current with constantly changing drug formularies, regulations, and reimbursement models. They frequently analyze large volumes of claims data to identify cost-saving opportunities and address discrepancies, which requires strong attention to detail and technical expertise. Additionally, PBM Consultants may face the challenge of balancing competing interests among plan sponsors, members, and pharmacy networks while ensuring compliance. Working collaboratively with internal teams and external stakeholders is key to addressing these challenges and delivering effective, tailored solutions to clients.

More about Pbm Consultant jobs
What cities are hiring for Pbm Consultant jobs? Cities with the most Pbm Consultant job openings:
What states have the most Pbm Consultant jobs? States with the most job openings for Pbm Consultant jobs include:
Infographic showing various Pbm Consultant job openings in the United States as of June 2026, with employment types broken down into 1% Locum Tenens, and 99% Full Time. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $86,430 per year, or $41.6 per hour.
Associate Director PBM Sales, Strategy and Growth Remote

Associate Director PBM Sales, Strategy and Growth Remote

UnitedHealth Group

Boston, MA • Remote

$75K - $160K/yr

Full-time

Retirement

Posted 18 days ago


UnitedHealth Group rating

7.6

Company rating: 7.6 out of 10

Based on 145 frontline employees who took The Breakroom Quiz

189th of 877 rated healthcare providers


Job description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

Associate Director Sales, Strategy and Growth:

Associate Director Sales is responsible for generating revenue and developing new business via existing TPA and health plan partner relationships. ADS develops annual sales plans and TPA specific strategies and executes those plans and strategies to pull through net new TPA employer group business. ADS is responsible for designing and selling solutions to meet pharmacy benefit goals of plan sponsors, and to meet annual growth goals.

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

  • Build and maintain relationships with sales leaders, business development team members, and client management stakeholders within assigned OptumRx TPA partners  
  • Develop and execute annual TPA specific strategic sales plans
  • Develop and execute training on OptumRx solutions to TPA's sales and client management teams
  • Lead TPA sales opportunities from beginning through implementation
  • Lead presale analytic and proposal requests for prospects within TPA
  • Create solid internal working relationships with OptumRx client management, underwriting, implementation, clinical, and marketing
  • Direct prospecting, in collaboration with TPA
  • Partner with Optum and TPA marketing teams to develop and execute co-branded marketing initiatives, collateral, technology, and sponsorships
  • Maintain TPA specific pipelines
  • Facilitate finalist meetings including team coordination, strategy development, and presentation development
  • Advise on TPA annual market check  
  • Collaborate with Enterprise assets for cross selling and upselling opportunities
  • Successfully negotiate with prospects and associated brokers and consultants within TPA partnerships
  • Establish and maintain solid relationships with brokers, consultants and other key TPA channel partners
  • Represent Optum in TPA specific resource organizations
  • Manage pipeline in Salesforce Go

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. 

Required Qualifications:

  • 5 years of experience in PBM sales or client management, as a PBM consultant or H&B consultant / broker
  • 5 years of experience preparing and presenting materials to clients
  • 5 years of experience working in partnership with underwriting / finance in PBM or healthcare
  • Proficiency in Excel, Word, and PowerPoint
  • Willing or ability to travel up to 30 percent

Preferred Qualifications:

  • Consultant / broker background
  • Experience using Salesforce GO
  • Health care-related sales leadership experience
  • Advanced understanding of PBM industry
  • Proven solid oral and written communication skills

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $75,000 - $160,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.  

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.  


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