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Pbm Consulting Jobs in Florida (NOW HIRING)

C4 Technical Services

Be Seen First

Pharmacy Billing Specialist

Orlando, FL · On-site

$17 - $18/hr

... pbm, patients and other parties as needed to get maximum payment on accounts. * Research and ... Company Description C4 Technical Services is a forward-thinking IT, Telecom and Clinical consulting ...

ChenMed

Ambulatory Pharmacist

Tampa, FL · On-site

$118K - $168K/yr

Assists with physician consultations, provides accurate drug information, and supports the ... Experience in managed care, HMO, PBM, or MSO settings is a plus PAY RANGE: $118,062 - $168,658 ...

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Pbm Consulting information

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 the key skills and qualifications needed to thrive as a PBM consultant?

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 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 does a Pbm Consulting do?

A PBM (Pharmacy Benefit Management) consultant advises healthcare organizations on pharmacy benefit strategies, formulary management, and cost containment. They analyze drug utilization data, develop policies, and help optimize medication benefits for clients, often using data analysis tools and industry regulations.

What are popular job titles related to Pbm Consulting jobs in Florida?

For Pbm Consulting jobs in Florida, the most frequently searched job titles are:

What job categories do people searching Pbm Consulting jobs in Florida look for?

The top searched job categories for Pbm Consulting jobs in Florida are:

What cities in Florida are hiring for Pbm Consulting jobs?

Cities in Florida with the most Pbm Consulting job openings:

Pbm Consulting jobs near you
Infographic showing various Pbm Consulting job openings in Florida as of August 2026, with employment types broken down into 1% Internship, 84% Full Time, 10% Part Time, and 5% Contract. Highlights an 83% Physical, 6% Hybrid, and 11% Remote job distribution.

Pharmacy Benefit Audit Analyst

Secure Eclaims LLC

Miami, FL

Full-time

Re-posted 20 days ago

Job description

Specific job functions include:

· Review and understand PBM contracts for all relevant pricing terms

· Review and understand plan design documents provided by PBM or client

· Utilize company’s proprietary Compliance Model

· Calculate client contractual financial guarantees, admin fees, rebates and other terms as required by client contract

· Assemble audit reports and summarize findings

· Document all potential issues and track decisions

· Collaborate with account management and pharmacy consultants to discuss results with clients and vendors

· Provide documentation during follow-up negotiations and discussions

· Work with IT to further develop Compliance Model logic and capabilities

· Assist in other financial projects as needed

Requirements:

· Bachelor’s degree in Business, Finance, or other health related field

· At least 3 years of either a) pharmacy benefit audit or b) claim adjudication research experience on one or more PBM platforms

· Working knowledge of the PBM industry and pharmacy benefit claims

Desired Skills:

· Proficient in Microsoft Office, with extensive experience working with Excel

· Basic SQL query building

· Strong verbal and written communication skills

· Detail-oriented

· Solid, independent worker (this position will likely be based in the applicant’s home)

· Pharmacy Technician Certification (preferred)

Company Description

Leading specialty benefits management company in Puerto Rico and South Florida. Our innovative care management model integrates the needs of providers, payors and members to ensure the delivery of high quality, cost effective care while realizing substantial millions of dollars savings that keep the cost of healthcare down.

We are building a model for managing care delivery that embodies traditional values, promises reliability, and embraces flexibility and technology. Through our experience in the healthcare industry, the company aims to improve healthcare outcomes, achieve cost savings and serve as a single point of contact to move into value-based care.