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Pbm Consulting Jobs (NOW HIRING)

Data mining, and financial modeling using industry standard tools in similar roles in Pharmacy Benefits Management (PBM), Retail Pharmacy, PBM Consulting, and/or Healthcare experience. * Ability to ...

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 ...

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Rx Valet is seeking an experienced, results-oriented PBM Operations Manager to lead our Shield PBM ... Pharmacy Consulting Firms * Benefits Administration Companies * Healthcare Service Organizations ...

... 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 ...

This role requires a deep understanding of PBM services, strong communication skills, and the ... Detail-oriented, consultative and presentation skills, excellent communication & organization ...

Consulting Pharmacist

San Diego, CA · On-site +1

$117K - $222K/yr

Pharmacy benefits consulting work is, by nature, constantly changing and rarely routine ... Applicants must have a deep understanding of pharmaceuticals and pharmacy benefits management (PBM ...

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Pbm Consulting information

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$22K

$62.5K

$121K

How much do pbm consulting jobs pay per year?

As of Jun 9, 2026, the average yearly pay for pbm consulting in the United States is $62,502.00, according to ZipRecruiter salary data. Most workers in this role earn between $40,000.00 and $87,000.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a PBM Consultant, and why are they important?

To thrive as a PBM (Pharmacy Benefit Management) Consultant, you need a thorough understanding of pharmacy benefits, healthcare regulations, and data analysis, often supported by a degree in pharmacy, healthcare administration, or business. Familiarity with PBM software platforms, claims processing systems, and data analytics tools is typically required. Strong communication, negotiation, and problem-solving skills distinguish top performers in this role. These skills ensure effective management of pharmacy benefits, cost optimization, and successful client relations within a complex healthcare environment.

What is PBM consulting?

PBM consulting refers to professional advisory services focused on pharmacy benefit management (PBM). Consultants in this field help health plans, employers, or other organizations optimize their pharmacy benefit programs by analyzing contracts, improving cost efficiency, ensuring regulatory compliance, and enhancing patient outcomes. They may also provide guidance on PBM selection, formulary management, and rebate negotiations. PBM consultants use industry expertise to help clients navigate the complex landscape of prescription drug benefits.

What are some common challenges faced by PBM Consultants when working with clients to optimize pharmacy benefit plans?

PBM Consultants often encounter challenges such as navigating complex regulatory requirements, addressing diverse client needs, and managing tight timelines for plan implementation. They must balance cost-containment goals with ensuring access to high-quality medications and manage relationships between plan sponsors, pharmacies, and pharmaceutical manufacturers. Effective communication and staying updated on industry trends are crucial for overcoming these challenges and delivering optimal solutions for clients.
More about Pbm Consulting jobs
What cities are hiring for Pbm Consulting jobs? Cities with the most Pbm Consulting job openings:
What states have the most Pbm Consulting jobs? States with the most job openings for Pbm Consulting jobs include:
Infographic showing various Pbm Consulting job openings in the United States as of June 2026, with employment types broken down into 67% Full Time, and 33% Contract. Highlights an 67% In-person, and 33% Remote job distribution, with an average salary of $62,502 per year, or $30 per hour.
PBM Underwriter

$109K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 17 days ago


Job description

Description:

Position Overview: As a PBM Underwriter, you will be a strategic team member that is key in both winning new and retaining existing business by compiling financial proposals that appeal to clients, while meeting MedOne goals.


About MedOne: MedOne is a full-service pharmacy benefit manager (PBM), serving clients and members nationwide. With a fully transparent, pass-through model, MedOne helps people conveniently access the most appropriate prescriptions at the most affordable price.


What You'll Do:

  • Use proprietary Underwriting and Pricing Models, Excel, and SQL to model both prospective and existing client pharmacy spend, their underlying drivers of cost, as well as MedOne’s profitability.
  • Analyze pharmacy claims data and develop reports for operations, sales and other key business units.
  • Support the financial aspects of PBM Request for Proposals (RFPs), and client market-checks to include coordinating PBM data requests, completing financial evaluation, and completing formulary and network evaluations
  • Assist with research, recommendations, and implementation of technology changes and reporting to improve accuracy of the Underwriting Model and optimize financial responses to PBM RFP procurement.
  • Complete formulary and network disruptions to aid in the onboarding process of new clients
  • Ability to work closely with Subject Matter Experts (such as Clinical, Proposal Services, and Rebates) teams to incorporate their most up to date guidance seamlessly into the Underwriting Model.
  • Collaborate with other departments in Strategic Pricing business unit on analyses and/or projects
  • Active participation and/or ownership in both quarterly and annual business unit priorities
  • Other duties as assigned


What You Will Bring to MedOne:

  • Bachelor’s Degree in Math, Computer Science, Statistics or IT preferred
  • 1-3 years as a functional Data Analyst to include:
  1. Data mining, and financial modeling using industry standard tools in similar roles in Pharmacy Benefits Management (PBM), Retail Pharmacy, PBM Consulting, and/or Healthcare experience.
  2. Ability to translate business requirements to accurate technical specifications, with the end goal of creating optimized business reports that can be easily applied to meet the business use case
  3. System architecture and enterprise solution understanding.
  4. Intermediate knowledge of reporting, data analytics, and problem solving using analytical tools such as Excel, SAS, SQL, Power BI, and/or other ad hoc Query Tools
  5. Relevant experience that demonstrates problem-solving, financial acumen, and ability to understand, analyze and decrypt complex processes.
  • Ability to think strategically and proactively
  • Time management and prioritization skills.
  • Incredible work ethic and energy.


Why Join MedOne? At MedOne, we believe that a healthy team is a happy team. We offer a collaborative work environment, competitive benefits, and opportunities for growth—all while helping to make a difference in people’s lives. Our top core value is to prioritize your well-being. To support you in living this value, we offer:

  • Competitive salary and bonuses that reward your performance.
  • Comprehensive health, dental, and vision insurance + additional benefits
  • 401(k) with company match to secure your future.
  • Generous paid time off and holidays.
  • Opportunities for professional growth and development.
  • A vibrant and collaborative work culture.


Location: Offices in either Dubuque, IA, or Kansas City, MO, or the position can be remote within the United States.

Employment Type: Full Time, Salary/Exempt Position

Hours: Hours may vary within our normal business hours.

Reports to: Director of Underwriting


How to Apply: If you're enthusiastic about helping others and eager to join a dynamic team, we’d love to hear from you. Apply now and take the first step toward a rewarding career at MedOne! You can submit your application through our careers page.


MedOne is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.


Job Offers are contingent on passing a background check and drug screen.

Requirements: