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Pbm Consulting Jobs in Ohio (NOW HIRING)

Provide ongoing consultative support to regional decision makers and partner with the PBM field sales team during renewal and RFP processes to deliver pharmacy solutions that meet client needs ...

Provide ongoing consultative support to regional decision makers and partner with the PBM field sales team during renewal and RFP processes to deliver pharmacy solutions that meet client needs ...

Business Analyst

Mason, OH · On-site

$53 - $58/hr

Mandatory experience in Rx and PBM Should have end to end hands-on experience working as a BA ... S. states and Canada, we support thousands of consultants through our expansive, high-performing ...

Clinical Pharmacist - Sales

Columbus, OH

$114K - $136K/yr

Provide clinical and industry expertise to the Sales (Employer, Health Plan, Consultant/Broker ... Experience with PBM clinical programs, specialty and channel management, Medication Therapy ...

Clinical Pharmacist - Sales

Columbus, OH

$114K - $136K/yr

Provide clinical and industry expertise to the Sales (Employer, Health Plan, Consultant/Broker ... Experience with PBM clinical programs, specialty and channel management, Medication Therapy ...

Pbm Consulting information

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.
Infographic showing various Pbm Consulting job openings in Ohio as of July 2026, with employment types broken down into 90% Full Time, 8% Part Time, and 2% Contract. Highlights an 83% Physical, 4% Hybrid, and 13% Remote job distribution.

Business Information Consultant Senior- PBM Business Strategy and Analytics

Elevance Health

Mason, OH • Hybrid

$98K - $120K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 5 days ago


Elevance Health rating

7.7

Company rating: 7.7 out of 10

Based on 349 frontline employees who took The Breakroom Quiz

201st of 301 rated insurance


Job description

Anticipated End Date:

2026-08-21

Position Title:

Business Information Consultant Senior- PBM Business Strategy and Analytics

Job Description:

Business Information Consultant Senior- PBM Business Strategy and Analytics

Location: This role requires associates to be in-office 1 day per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Ideal candidates will be able to report to our Pulse Point location in Mason, OH. Alternate locations may be considered if candidates reside within a commuting distance from an office.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

The Business Information Consultant Senior- PBM Business Strategy and Analytics is responsible for coordinating and consolidating various impact analyses for management reporting.

How you will make an impact:

  • Establishes, improves, and optimizes the consolidating processes for forecast and month-end results.

  • Consolidates and prepares executive summary reports for various business segments in the SBU for top management decision-making.

  • Analyzes and designs solutions to address varied and highly complex business needs.

  • Collaborates with businesses and technical areas to implement new or enhanced products.

  • Works with products, internal business models and data systems.

  • Coordinates with external audits as appropriate.

  • Acts as the central contact with internal departments and external auditors.

Minimum Requirements:

Requires a BA/BS degree in Statistics, Economics, or Business Administration and minimum of 8 years of relevant experience; or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities & Experiences:

  • Experience providing leadership in evaluating performance of complex organizations highly preferred.

  • Excellent leadership, problem solving, organizational, planning, presentation and interpersonal skills highly preferred.

  • Ability to work independently and draw up plans to address issues/concerns highly preferred.

  • Experience partnering with cross-functional business owners to develop, prioritize, and implement sustainable process improvements across PBM departments preferred.

  • Comprehensive understanding of PBM Operations preferred.

  • Experience with SQL or other query languages preferred.

  • Exposure to data tools such as Power BI, Tableau, ChatGPT, or others preferred.

  • Experience working with large PBM datasets to identify trends and support decision-making preferred.

  • Experience developing and delivering executive-level presentations that communicate complex data, trends, recommendations, and business outcomes to leadership preferred.

Job Level:

Non-Management Exempt

Workshift:

Job Family:

RDA > Business/Health Info

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.


Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.


How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.


We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.


Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.


The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.


Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.


Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.


NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Example: If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM. In other words - the job is posted until 3/13, not through 3/13.


What Elevance Health employees say

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About Elevance Health

Sourced by ZipRecruiter

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. A Fortune 20 company with a longstanding history in the healthcare industry, we are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Indianapolis, IN, US

Year founded

2004

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