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OneDigital

PBM RFP & Pricing Lead - Remote

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 ...

Rightway Healthcare

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 ...

Vativo RX, LLC.

PBM Sales Executives

FL · Remote

... 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 ...

Rightway

Senior CSM, PBM

Miami, FL · Remote

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

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How much do pbm consulting jobs pay per year?

As of Jul 8, 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 does a PBM consultant do?

A PBM (Pharmacy Benefit Management) consultant advises healthcare organizations and employers on pharmacy benefit strategies, formulary management, and cost containment. They analyze drug utilization data, recommend formulary changes, and help optimize medication benefits while ensuring compliance with regulations. Strong analytical skills and knowledge of pharmacy benefits are essential for this role.

Is it hard to get into healthcare consulting?

Healthcare consulting roles often require a strong background in healthcare systems, business, or related fields, along with relevant skills such as data analysis and project management. Entry can be competitive, especially for senior positions, but candidates with relevant experience, certifications, and a solid understanding of healthcare regulations tend to have better chances of securing a position.

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.

What is the highest paid type of consultant?

Management consultants, especially those specializing in strategy, mergers and acquisitions, or IT consulting, tend to be among the highest-paid in the consulting industry. Senior-level consultants with specialized skills and certifications such as an MBA or PMP often command higher salaries, particularly in large firms or specialized fields like cybersecurity or digital transformation.

What job makes $1,000,000 a year?

High-level executive roles such as CEOs, CFOs, and other C-suite positions in large corporations can earn $1,000,000 or more annually through salaries, bonuses, and stock options. Additionally, successful entrepreneurs, top investment bankers, and certain specialized professionals in finance or technology may reach this income level, often requiring extensive experience, advanced skills, and significant responsibility.
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Pbm Consulting jobs near you
Infographic showing various Pbm Consulting job openings in the United States as of July 2026, with employment types broken down into 93% Full Time, 4% Part Time, and 3% Contract. Highlights an 84% Physical, 4% Hybrid, and 12% Remote job distribution, with an average salary of $62,502 per year, or $30 per hour.

Pharmacy Consulting Analyst - Remote

Unison Risk Advisors

Cleveland, OH • On-site, Remote

$121K - $141K/yr

Full-time

Posted 26 days ago

Job description

Pharmacy Consulting Analyst - Job Description
Position Summary
The Pharmacy Consulting Analyst is responsible for supporting employer clients in optimizing pharmacy benefit programs through a combination of strategic analytics, PBM procurement, and operational execution. This role contributes to PBM RFP development, vendor evaluation, and negotiation activities while leveraging pharmacy claims data to identify cost drivers, trends, and savings opportunities. The position blends hands-on analytical work with cross-functional collaboration, supporting both strategic decision-making and day-to-day operational needs within a fast-paced consulting environment.
Key Responsibilities
Functional Leadership & Ownership
• Support PBM RFP processes including preparation, distribution, evaluation, and recommendation development.
• Contribute to vendor negotiations, including pricing, rebate structures, and contract terms.
• Act as a subject matter resource on PBM pricing models, formulary strategies, and specialty drug management.
Hands-On Execution & Delivery
• Analyze pharmacy claims data to identify utilization trends, cost drivers, and savings opportunities.
• Develop financial models evaluating plan design changes and procurement strategies.
• Create client-ready deliverables including reports, summaries, and presentations.
Reporting, Quality & Operational Support
• Compile and maintain reporting on claims experience, high-cost medications, and spend trends.
• Ensure accuracy and quality of data outputs and client deliverables.
• Support documentation, billing processes, audit readiness, and internal reporting needs.
Cross-Functional Partnership & Integration
• Coordinate data exchanges between PBMs, clients, and internal teams.
• Support consulting teams with materials for client meetings and strategy sessions.
• Facilitate issue resolution and ensure alignment across stakeholders.
Growth, Change & Special Initiatives
• Participate in strategic initiatives including PBM transitions, implementations, and optimization efforts.
• Support project coordination activities such as scheduling, timeline tracking, and deliverable management.
Process Improvement & Best Practices
• Identify opportunities to improve analytics, reporting processes, and workflows.
• Monitor industry trends and recommend enhancements based on market developments.
Center of Excellence (COE) Contribution
• Contribute to development of standardized tools, models, and best practices within pharmacy consulting.
• Support documentation and repeatable processes to enhance scalability and consistency.
Accountability
• Deliver accurate, actionable insights that support client decision-making.
• Maintain quality, compliance, and data integrity across all outputs.
• Ensure timely execution of project deliverables and client commitments.
• Build collaborative relationships across internal teams and external partners.
Qualifications
Required
• Bachelor's degree in Business, Healthcare Administration, Economics, or related field.
• 3+ years of experience in pharmacy benefits, PBM consulting, analytics, or related area.
• Strong understanding of PBM pricing, rebates, formulary management, and specialty drug strategies.
• Advanced analytical and financial modeling skills.
• Proficiency in Excel and data visualization tools such as Tableau or Power BI.
Preferred
• Experience working with PBMs, health plans, or benefits consulting firms.
• Experience managing RFP processes and vendor negotiations.
• Experience working with large datasets and analytics platforms.
Key Competencies
• Strategic & Systems Thinking
• Ownership & Accountability
• Data-Driven Decision Making
• Process Improvement
• Collaboration & Communication
• Change Agility
• Business Acumen
Compensation
The base salary range for this position is $121,000 to $141,000 annually. Individual compensation will be determined based on a variety of factors including relevant experience, skills, education, and internal equity.

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