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Pbm Consulting Jobs in Kentucky (NOW HIRING)

$99 - $121/hr

... PBM clients. This role focuses on client retention, revenue growth, contract renewals, and expanding the value clients receive from Surescripts solutions. Through consultative account management ...

$92 - $164/hr

The Clinical Consultant serves as the primary liaison between OptumRx clinical operations ... ASHP-accredited residency in Managed Care * 3+ years of managed care or PBM experience * 2+ years ...

$113 - $193/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 ...

$113 - $193/hr

Lead and manage ongoing client relationships, pharmacy benefit analysis and consultation delivery ... Advanced understanding of PBM industry Pay is based on several factors including but not limited to ...

$113 - $193/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 ...

$113 - $193/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 ...

$120 - $180/hr

Provide consultative management of day-to-day clinical service offerings supporting the sales, IT, ... Doctor of Pharmacy (PharmD) degree from an accredited institution. * 3+ years of experience in PBM ...

$105 - $134/hr

Experience in pharma, pharma consulting, at a health insurer, or at a PBM is required: this work depends on understanding how specialty programs function, how manufacturers define success, and how ...

New

$68 - $127/hr

The Strategic Reporting Consultant (SRC) is a senior-level analyst responsible for defining ... PBM, or analytics/data platforms) with deep understanding of industry data models and business ...

$150 - $155/hr

By uniquely combining PBM and Pharmacy Services into one integrated powerhouse, VytlOne doesn't ... Provide individual and group training, in-services and other consultations to unit staff and ...

$70 - $100/hr

Liviniti , the leading disruptor in the PBM industry, simplifies the complexities of navigating ... consulting with customers by phone or in person, and communicating needs of the customer to other ...

Compliance Lead (Pharmacy)

Louisville, KY · On-site

$115 - $158/hr

... consulting.* Experience working with regulatory agencies, including CMS and/or state departments of health insurance.* Knowledgeable in regulations governing health care industries.* Knowledge of PBM ...

$180 - $260/hr

Beyond advisory and consultation, this role serves as a key "closer" in business development ... Vendor Management: Extensive experience reviewing and redlining ASO, TPA, and PBM contracts.

$137 - $215/hr

Build multithreaded relationships with benefits leaders, consultants, finance, clinical ... Employer health benefits, digital health, benefits navigation, wellbeing, PBM, or closely related ...

$137 - $215/hr

Build multithreaded relationships with benefits leaders, consultants, finance, clinical ... Employer health benefits, digital health, benefits navigation, wellbeing, PBM, or closely related ...

$89 - $143/hr

Identify, analyze, and monitor industry, regulatory, technology, provider, PBM, and market trends ... Engage with specialty pharmacies, PBMs, vendor, consultants, vendors, providers, and other external ...

$150 - $210/hr

Oversee the Associate Medical Directors and Medical Consultants to ensure that all departments of ... Work closely with the Pharmacy team to participate in the oversight of the plan's PBM.* Participate ...

New

$120 - $190/hr

Collaborate with consultants, brokers, and intermediary partners to position solutions and ... Stay current on healthcare, specialty pharmacy, payer, and PBM market trends, including regulatory ...

Showing results 21-40

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.

Client Partner - Health Plans & PBMs

Surescripts

On-site

$99 - $121/hr

Other

Medical, Life, Retirement, PTO

Posted 18 days ago


Job description

## Client Partner - Health Plans & PBMsApplylocations: United Statestime type: Full timeposted on: Posted 3 Days Agojob requisition id: REQ3123Surescripts serves the nation through simpler, trusted health intelligence sharing, in order to increase patient safety, lower costs and ensure quality care. We deliver insights at critical points of care for better decisions — from streamlining prior authorizations to delivering comprehensive medication histories to facilitating messages between providers.# **Job Summary**# The Client Partner is responsible for managing a portfolio of assigned Health Plan and PBM clients. This role focuses on client retention, revenue growth, contract renewals, and expanding the value clients receive from Surescripts solutions. Through consultative account management, strategic planning, and cross-functional collaboration, the Client Partner builds trusted relationships, helps clients achieve their business objectives, and drives mutual success for clients and Surescripts.# **Responsibilities*** Oversee a portfolio of assigned Health Plan and PBM clients, building and maintaining strong, long-term relationships.* Serve as the primary point of contact for assigned clients, coordinating access to internal expertise and resources.* Develop and execute account plans aligned with customer objectives and Surescripts business goals.* Drive revenue growth through contract renewals, expansion opportunities, and increased solution utilization.* Maintain responsibility for customer retention, contract renewals, and revenue expansion within existing accounts.* Manage inbound sales and account growth opportunities within assigned customer accounts and established revenue thresholds.* Identify and develop cross-sell opportunities within existing customer relationships.* Lead customer initiatives and contracting efforts, including large-scale programs, upgrades, and migration activities.* Partner with implementation, product, operations, and support teams to deliver positive customer experience and achieve business objectives.* Proactively identify and mitigate risks impacting customer satisfaction, retention, and growth.* Build relationships with customer stakeholders across all levels of the organization, including executive leadership.* Conduct Quarterly Business Reviews (QBRs), executive business reviews, strategic planning sessions, and customer workshops.* Analyze customer performance metrics, provide business insights, and develop recommendations that support customer objectives.* Maintain accurate forecasts and provide updates on customer health, revenue opportunities, and risks.* Gather customer feedback and market intelligence to help improve products, services, and customer experience.* Stay informed on healthcare industry trends, regulatory developments, and market dynamics.**Basic Qualifications*** Bachelor's degree or equivalent combination of education and experience.* 5+ years of experience in the healthcare or healthcare technology industry. Ideally supporting health plans, payers, or PBM clients.* 5+ years of account management and/or sales experience.* Experience managing customer relationships and engaging stakeholders at multiple organizational levels, including executive leadership.* Experience developing and delivering Quarterly Business Reviews (QBRs), business reviews, or customer presentations.* Experience analyzing, interpreting, and presenting data and business insights to customers.* Experience managing revenue opportunities, account planning, forecasting, and customer growth initiatives.* Experience identifying and developing expansion or cross-sell opportunities within existing customer accounts.* Strong communication, planning, organizational, negotiation, and relationship management skills.* Demonstrated ability to achieve revenue, retention, or strategic customer objectives.* Ability to work independently and collaboratively in a fast-paced environment.* Willingness to travel up to 30%.**Preferred Qualifications*** Experience using Salesforce or other CRM platforms.* Experience supporting or leading contract renewals.Surescripts embraces flexibility through its Flexible Hybrid Work model for most positions. This model allows employees to work virtually while still utilizing our offices as collaboration centers. With alignment and agreement from your leadership, you can come and go from the office as needed .To be considered for employment, applicants must have a valid U.S. work authorization allowing work without restrictions with Surecripts in the U.S. At this time, we are unable to provide support or provide sponsorship for immigration benefits such as work visas. Additionally, we do not participate in academic training programs or work-study programs through an academic institution that require employer endorsement of F-1/CPT or F-1/STEM.# **What You’re Like**You’re an advocate with a customer-first mindset who will do whatever is needed to help your customers succeed. You play at the intersection of creativity and strategy. And while you like big ideas, you’re also grounded in good data, real market insights and measurable results. # **What We’re Like**We’re a team of creatives and strategists who are customer obsessed. We value teamwork and innovation and strive to make a difference in healthcare by focusing on our customers. We’re storytellers and promoters who serve as champions for quality and customer experience. We take our work seriously, but we also know how to have fun.# **What the Work is Like**Our challenge is dealing with competing priorities as we juggle long-term goals with short-term needs. To do this, energy and positivity is the name of the game. And we take time to both celebrate our accomplishments and learn from our missteps.**Why Wait? Apply Now**We’re a midsize company. This means you’re not just another employee ID number. Here, you can build real relationships and feel supported by truly awesome people with diverse backgrounds and talents in an innovative and collaborative work culture. We strive to create an environment where you can be yourself, share your ideas and work your way. We offer opportunities for employee development, as well as competitive compensation packages and extensive benefits.At Surescripts, base pay is one part of our Total Rewards Package (which may also include bonus, benefits etc.) and is determined within a range. The base pay range for this position is $98,600 - $120,500 per year. Your base pay may vary within or outside of this range depending on a number of factors, including (but not limited to) your qualifications, skills, experience, and location.Benefits include, but are not limited to, comprehensive healthcare (including infertility coverage), generous paid time off including paid childbirth and parental leave and mental health days, pet insurance, and 401(k) with company match and immediate vesting. To learn more, review the Keep You and Yours Healthy, Balancing Work and Life, and Where Talent Takes Shape links under the Better Benefits. Better Work. Better Life section of our careers site.# **Physical and Mental Requirements**While performing duties of this job, an employee may be required to perform any, or all of the following: attend meetings in and out of the office, travel, communicate effectively (both orally and in writing), and be able to effectively use computers and other electronic and standard office equipment with, or without, a reasonable accommodation. Additionally, this job requires certain mental demands, including the ability to use judgement, withstand moderate amounts of stress and maintain attention to detail with, or without, a reasonable accommodation.Surescripts is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate on the basis of race, color, religion, age, national origin, ancestry, disability, medical condition, marital status, pregnancy, genetic information, gender, sexual orientation, parental status, gender identity, gender expression, veteran status, or any other status protected under federal, state, or local law.### About SurescriptsSurescripts serves the nation through simpler, trusted health intelligence sharing, in order to increase patient safety, lower costs and ensure quality care. We deliver insights at critical points of care for better decisions — from streamlining prior authorizations to delivering comprehensive medication histories to facilitating messages between providers.\_\_\_\_\_**To be considered for employment, applicants must have a valid U.S. work authorization allowing work without restrictions with Surecripts in the U.S. At this time, we are unable to provide support or provide sponsorship for immigration benefits such as work visas. Additionally, we do not participate in academic training programs or work-study programs through an academic institution that require employer endorsement of F-1/CPT or F-1/STEM.****Surescripts recognizes the importance of fostering an environment that leverages the unique contributions of all individuals and we are committed to providing reasonable accommodations to every applicant. If you need a reasonable accommodation for any portion of the employment process, please contact us at** **accessibility@surescripts.com****.** #J-18808-Ljbffr