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Pbm Consulting Jobs in Texas (NOW HIRING)

Lucyrx

Account Manager

The Colony, TX

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 ...

HUB

Senior Regional Pharmacy Consultant

Austin, TX · On-site

... partners and PBM's decision support tools to justify the election of theappropriate ... Mentors and coaches Regional Pharmacy Consultants, sharing best practices, providing guidance on ...

HUB

Senior Regional Pharmacy Consultant

Houston, TX · On-site

... partners and PBM's decision support tools to justify the election of theappropriate ... Mentors and coaches Regional Pharmacy Consultants, sharing best practices, providing guidance on ...

LucyRx

Account Manager

The Colony, TX · On-site

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 ...

HUB

Senior Regional Pharmacy Consultant

Dallas, TX · On-site

... partners and PBM's decision support tools to justify the election of theappropriate ... Mentors and coaches Regional Pharmacy Consultants, sharing best practices, providing guidance on ...

Segal

Associate Actuarial Consultant, Health

Addison, TX · On-site

$84K - $105K/yr

... analytics consulting services to a broad and diverse range of clients. The Role • Provide technical review and analysis of PBM data, contracts, RFPs, financial arrangements and PBM program ...

OnePoint Patient Care

Pharmacist / Part-Time

San Antonio, TX · On-site

$52.50 - $63.25/hr

Provides clinical consultations to patients as well as recommendations to nurses, physicians, and ... Through its Concierge PBM, Next Day Valet mail order, and Direct Express local services, OnePoint ...

BrightSpring

Pharmacist / Part-Time

San Antonio, TX

$52.50 - $63.25/hr

Provides clinical consultations to patients as well as recommendations to nurses, physicians, and ... Through its Concierge PBM, Next Day Valet mail order, and Direct Express local services, OnePoint ...

OnePoint Patient Care

Pharmacist / Part-Time

San Antonio, TX · On-site

$52.50 - $63.25/hr

Provides clinical consultations to patients as well as recommendations to nurses, physicians, and ... Through its Concierge PBM, Next Day Valet mail order, and Direct Express local services, OnePoint ...

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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 Texas?

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

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

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

What cities in Texas are hiring for Pbm Consulting jobs?

Cities in Texas with the most Pbm Consulting job openings:

Pbm Consulting jobs near you
Infographic showing various Pbm Consulting job openings in Texas as of August 2026, with employment types broken down into 1% Internship, 85% Full Time, 9% Part Time, and 5% Contract. Highlights an 83% Physical, 6% Hybrid, and 11% Remote job distribution.

Associate Actuarial Consultant, Health

The Segal Group, Inc

Addison, TX • On-site

$84 - $105/hr

Other

This job post has expired today. Applications are no longer accepted.

Job description

Job Description - Associate Actuarial Consultant, Health (NAT000000AW)

Job Description

Associate Actuarial Consultant, Health - ( NAT000000AW )

Description

The Opportunity

We are recruiting for an Associate Actuarial Consultant for our Pharmacy Benefits Consulting Practice. This position affords an immediate opportunity to apply your financial acumen, analytical, and problem-solving skills and your expertise with pharmacy benefits to contribute to the development of solutions to challenging client issues. The Associate Consultant will work under the guidance and mentoring of talented senior level experts and will work independently and on teams to deliver pharmacy benefits financial analytics consulting services to a broad and diverse range of clients.

The Role
  • Provide technical review and analysis of PBM data, contracts, RFPs, financial arrangements and PBM program effectiveness
  • Technical analysis of RFP responses from pharmacy benefits managers including written proposals, pricing information, contract analyses and defining project scope recommendations.
  • Technical analysis of rebates and contracting pricing strategies.
  • May lead or assist with managing pharmacy benefits Requests For Proposals (“RFP’s) for our clients within scope, profitability and productivity targets.
  • Analyze and manage multiple projects simultaneously to develop, enhance and maintain pharmacy benefits-related financial tools
  • Support business growth strategies and marketing initiatives to assist Leaders in business development and cross-selling efforts. Contribute to the continual development of resources, efficiencies and quality.
  • Gather, utilize and share market intelligence to develop and introduce unique and/or new approaches to servicing clients.
Qualifications
  • 4+ years of medical or pharmacy benefits financial administration and/or audit experience to include significant exposure to tools relevant to analysis of large data sets and complex financial analysis. Previous actuarial expertise is a plus.
  • Undergraduate degree in business, actuarial science, or related discipline. Advanced degree preferred.
  • Previous Medical or Pharmacy Claims Auditing, Benefits Contracting, and/or Claims Processing experience preferred.
  • Strong demonstrated knowledge and familiarity with SQL. Experience with Python a plus.
  • Demonstrated project management and client servicing/relationship management skills.
  • Demonstrated experience setting and leading efforts to achieve revenue and/or profitability- oriented objectives with desired results.
  • Effective interpersonal and relationship building skills with ability to build rapport with diverse audiences.
  • Passionate attention to detail and quality.
About Segal and its Total Rewards Program:

Segal is a privately owned, leading North American employee benefit, human resources and investment management consulting firm withover 80 years of historyproviding trusted advice that improves lives. Clients include public and private corporations, multiemployer trust funds, public sector entities, higher education institutions, institutional advisors, among many others.

Segal’s total rewards is part of what makes Segala special place to work. The current salary range for this position is $84,000 - $105,000.

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