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Pbm Consulting Jobs in Tennessee (NOW HIRING)

Pbm Consulting information

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 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 Consulting do?

A PBM (Pharmacy Benefit Manager) consulting professional advises healthcare organizations on pharmacy benefit strategies, cost management, and formulary optimization. They analyze drug utilization data, develop cost-saving programs, and help implement pharmacy benefit plans to improve efficiency and compliance.

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 cities in Tennessee are hiring for Pbm Consulting jobs?

Cities in Tennessee with the most Pbm Consulting job openings:

Infographic showing various Pbm Consulting job openings in Tennessee as of August 2026, with employment types broken down into 1% Internship, 83% Full Time, 10% Part Time, and 6% Contract. Highlights an 83% Physical, 7% Hybrid, and 10% Remote job distribution.

Financial Consultant Senior (PBM Pricing)

Elevance Health

Nashville, TN • Hybrid

$112K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted yesterday

New


Elevance Health rating

7.7

Company rating: 7.7 out of 10

Based on 351 frontline employees who took The Breakroom Quiz

203rd of 307 rated insurance


Job description

Anticipated End Date:

2026-08-21

Position Title:

Financial Consultant Senior (PBM Pricing)

Job Description:

Financial Consultant Senior (PBM Pricing)

Hybrid 1: This role requires associates to be in-office 1 - 2 days 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. 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.

CarelonRx is a proud member of the Elevance Health family of companies. CarelonRx pairs a strong, clinical-first lens with deep pharmacy expertise to create solutions that improve outcomes, control costs, and enhance each member's health.

The Financial Consultant Senior (PBM Pricing) is responsible for reviewing and preparing interpretation of historical financial data, financial projections, and results. Performs consulting services to support business development studies, economic evaluation, and planning functions.

How You Will Make an Impact:

  • Monitors and managespricing and net cost guaranteesfor ASO clients.

  • Identifies complex financial problems or issues, researches solutions, and implements corrective steps to achieve higher level of efficiency.

  • Advises management of various financial models and recommendations.

  • Prepares complexpresentations analyses, tailoredto suit various audiences.

  • Preparespharmacyfinancial planningand results,financial section of annual and quarterly reports to shareholders, applicable government reports, and budget reports.

  • Is used as a resource by staff or outside departments.

  • Trains and reviews the work of lower level Financial Analysts.

Minimum Requirements:

  • Requires a BA/BS in accounting or finance and a minimum of 5 years budgeting, forecasting and accounting financial reporting experience; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

  • MBA, CPA, CMA, FSA, and/or CFA preferred.

  • PBM pricing experience preferred.

  • Excel skill/experience preferred.

  • SQL skill/experience preferred.

Job Level:

Non-Management Exempt

Workshift:

Job Family:

AFA > Financial Reporting, Planning & Analysis

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.


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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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