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Pbm Consulting Jobs in Kentucky (NOW HIRING)

$120 - $180/hr

A Consultant's Rolodex: You don't rely solely on cold calls. You have deep-rooted, trust-based relationships with PBM/Health Plan Executive, clinicians and consultants who will open doors for you on ...

$140 - $210/hr

Participate in key Strategic Client Consultative Reviews, Strategic Business Plan meetings, and ... Understanding of the PBM industry and the Navitus advantage compared with competitors required

Business Consultant

Louisville, KY · On-site

$87K - $131K/yr

Experience leading cross-functional initiatives and driving process improvements is preferred * Healthcare, PBM, compliance, or operational consulting experience preferred. For candidates working in ...

Business Consultant

Louisville, KY · On-site

$87K - $131K/yr

Experience leading cross-functional initiatives and driving process improvements is preferred * Healthcare, PBM, compliance, or operational consulting experience preferred. For candidates working in ...

$120 - $180/hr

The Manager of PBM Underwriting & Analytics is responsible for leading and overseeing the ... Develop strategic relationships with external stakeholders, including consultants, brokers, and ...

$65 - $75/hr

... consultants. Our proprietary, data-driven technology and deep industry expertise empower smarter pharmacy benefit decisions through contract optimization and PBM oversight. Independent and unbiased ...

$55 - $90/hr

Provide consultative services on pharmacy benefits, plan design, and cost‑saving initiatives ... Stay informed on industry trends, legislative changes, and best practices in PBM to provide ...

$125 - $144/hr

Core responsibilities include: * a) administering the PBM certification program and related ... Oversee consultants and vendors, as appropriate. * Prepare executive correspondence and briefing ...

$70 - $110/hr

Leverage knowledge of PBM and Pharmacy industries to provide a consultative approach to client needs. * Drive and own client renewals through collaborative development of ongoing, effective client ...

$100 - $130/hr

Pharmacy Consulting and Analytics Auditing PillarRx Copay Maximization. Our relentless endeavor to obtain the best possible outcome for our clients comes from a belief that PBM contracts should be ...

$125 - $175/hr

Partner closely with Large Employer Market consultants to coordinate engagement with the Pharmacy Consulting team across key service areas (financial modeling, PBM contracting, clinical strategy, etc.

$140 - $234/hr

PBM experience. * Healthcare strategy consulting experience. * Experience in public policy, legislative affairs, regulatory affairs, or government relations. * Experience developing executive-level ...

$136 - $190/hr

Partner closely with Clinical Account Consultants (CAC) and other SMEs to ensure clinical strategy is effectively integrated into the broader client narrative and recommendations. * Maintain a strong ...

New

$92 - $164/hr

Lead and manage ongoing client relationships, pharmacy benefit analysis and consultation delivery ... Advanced understanding of PBM industry *All employees working remotely will be required to adhere ...

$92 - $164/hr

Lead and manage ongoing client relationships, pharmacy benefit analysis and consultation delivery ... Advanced understanding of PBM industry All employees working remotely will be required to adhere to ...

$92 - $164/hr

Lead and manage ongoing client relationships, pharmacy benefit analysis and consultation delivery ... Advanced understanding of PBM industry *All employees working remotely will be required to adhere ...

$92 - $164/hr

Lead and manage ongoing client relationships, pharmacy benefit analysis and consultation delivery ... Advanced understanding of PBM industry All employees working remotely will be required to adhere to ...

$92 - $164/hr

Lead and manage ongoing client relationships, pharmacy benefit analysis and consultation delivery ... Advanced understanding of PBM industry *All employees working remotely will be required to adhere ...

$100 - $232/hr

Position Summary The Director, PBM Contract Management applies complex financial, contractual, and ... and consultants, and negotiating contracts that accurately memorialize agreed-upon terms and ...

$110 - $160/hr

... consultants and brokers. Working in close partnership with the account executive and cross ... S. jurisdiction. • Two to five years of experience in a client-facing managed care, PBM, health ...

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Showing results 1-20

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.
Infographic showing various Pbm Consulting job openings in Kentucky as of August 2026, with employment types broken down into 1% Internship, 81% Full Time, 12% Part Time, and 6% Contract. Highlights an 85% Physical, 5% Hybrid, and 10% Remote job distribution.

Vice President of Sales (PBM / Pharmacy Benefits)

Dane Street, LLC

On-site

$120 - $180/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 4 days ago


Job description

JOB SUMMARY

We are seeking a Vice President of Sales to lead our growth strategy, drive net-new business, and disrupt the traditional PBM landscape. In this role, you won't just manage a pipeline—you will actively hunt, negotiate, and close high-stakes deals with consultants, brokers, employers, and health plans while further building on our existing sales/account management teams. If you are a strategic closer with a deep book of business and a passion for winning, we want you on our team.

Dane Street’s success relies on individual and team contributions every day. We care for our customers, each other, and Dane Street. It is the responsibility for all of us to maintain a positive working environment that promotes client satisfaction and results.

MAJOR DUTIES & RESPONSIBILITIES
  • Drive Aggressive Revenue Growth: Own and execute the PBM sales strategy to consistently meet and exceed annual growth targets.
  • Capture Market Share: Actively target and win over accounts from legacy PBM competitors by effectively positioning our unique value proposition, transparency, and cost-savings models.
  • Cultivate High-Value Relationships: Leverage and expand your existing network of PBM/health plan executives and consultants to generate a robust pipeline.
  • Lead Complex Deal Cycles: Command the end-to-end sales process for Top 20 PBMS, mid-market and enterprise accounts, from initial prospecting and finalist presentations to complex contract negotiations and closures.
  • Collaborate Across Teams: Partner closely with Underwriting, Actuarial, and Legal teams to price competitively and structure winning, customized financial models (spread vs. pass‑through, rebate structures, etc.).

Other duties & special projects, as assigned and based on business needs.

What Makes You Successful in This Role
  • To thrive as our VP of Sales, you aren't just looking for a comfortable executive seat—you are a fierce competitor who loves the thrill of the win. The ideal candidate will possess a unique blend of industry mastery, strategic grit, and a hunter mindset:
  • A Disrupter’s Mindset: You don't just accept the PBM status quo; you actively exploit the vulnerabilities, opaque pricing, and weaknesses of legacy competitors to win over dissatisfied clients.
  • A Consultant’s Rolodex: You don’t rely solely on cold calls. You have deep-rooted, trust-based relationships with PBM/Health Plan Executive, clinicians and consultants who will open doors for you on day one.
  • Fluency in PBM Economics: You can talk shop with the best of them. You understand the mechanics of drug spend, rebate maximization, formulary strategies, and specialty pharmacy, allowing you to build immediate credibility with sophisticated buyers.
  • The "Closers" DNA: You are energized by high-stakes finalist presentations. You know how to read a room, handle tough objections, and steer complex, multi-million‑dollar deal cycles across the finish line.
  • Strategic Resiliency: You view a "no" from a prospect as a temporary hurdle. You are a creative problem‑solver who knows how to restructure a deal, pivot the financial model, and stay in the game until the contract is signed.
EDUCATION/CREDENTIALS

An Associate’s Degree or Bachelor’s Degree is preferred.

JOB RELEVANT EXPERIENCE
  • Business experience in a healthcare and/or insurance setting is preferred.
  • Industry Expertise: Minimum of 8–10 years of direct sales experience within the PBM, digital health pharmacy, or health insurance space.
  • Proven Track Record: A documented history of consistently hitting or exceeding multi-million‑dollar sales quotas and "poaching" major enterprise clients from established industry players.
  • Deep Rolodex: An active, established network of national and regional benefits consultants and brokers (e.g., Mercer, WTW, Aon, Lockton).
  • Subject Matter Mastery: Understanding of PBM mechanics, including formulary management, clinical programs, specialty pharmacy, pricing models, and rebate structures.
  • Executive Presence: Exceptional communication, negotiation, and presentation skills, with the ability to command a room during finalist meetings.
WORKING CONDITIONS/PHYSICAL DEMANDS

Any lifting, bending, traveling, etc. required to do the job duties listed above. Long periods of sitting and computer work.

WORK FROM HOME TECHNICAL REQUIREMENTS

Supply and support their own internet services.

Maintaining an uninterrupted internet connection is a requirement of all work from home positions.

This job description is subject to change at any time.

Join our team at Dane Street and enjoy a comprehensive benefits package designed to support your well-being and peace of mind. We offer a range of benefits including medical, dental, and vision coverage for you and your family. Additionally, we offer voluntary life insurance options for you, your spouse, and your children. We also offer other voluntary benefits which include hospital indemnity, critical illness, accident indemnity, and pet insurance plans. Employees receive basic life insurance, short-term disability, and long-term disability coverage at no cost. Our generous paid time off policy ensures you have time to relax and recharge, while our 401k plan with a company match helps you plan for your future. Apple equipment and a media stipend are provided for remote workspace.

ABOUT DANE STREET

A fast-paced, Inc. 500 Company with a high‑performance culture, is seeking insightful forward‑thinking professionals. We process over 200,000 insurance claims annually for leading national and regional Workers’ Compensation, Disability, Auto, and Group Health Carriers, Third-Party Administrators, Managed Care Organizations, Employers, and Pharmacy Benefit Managers. We provide customized Independent Medical Exams and Peer Review programs that assist our clients in reaching the appropriate medical determination as part of the claims management process.

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