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Pbm Consulting Jobs (NOW HIRING)

... PBM), occupational and facility licensure, and federal preemption. Reporting to the Vice President ... The position also oversees the work of two external consultants, ensuring alignment with Humana ...

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How much do pbm consulting jobs pay per year?

As of Jul 8, 2026, the average yearly pay for pbm consulting in the United States is $62,502.00, according to ZipRecruiter salary data. Most workers in this role earn between $40,000.00 and $87,000.00 per year, depending on experience, location, and employer.

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.
More about Pbm Consulting jobs
What cities are hiring for Pbm Consulting jobs? Cities with the most Pbm Consulting job openings:
What states have the most Pbm Consulting jobs? States with the most job openings for Pbm Consulting jobs include:
Infographic showing various Pbm Consulting job openings in the United States as of July 2026, with employment types broken down into 93% Full Time, 4% Part Time, and 3% Contract. Highlights an 84% Physical, 4% Hybrid, and 12% Remote job distribution, with an average salary of $62,502 per year, or $30 per hour.
Director, State Public Policy (Pharmacy & PBM)

Director, State Public Policy (Pharmacy & PBM)

Humana, Inc.

Remote

$132K - $174K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

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


Humana rating

7.9

Company rating: 7.9 out of 10

Based on 260 frontline employees who took The Breakroom Quiz

155th of 278 rated insurance


Job description

Become a part of our caring community
The Director, State Public Policy, within Humana's Government Affairs team, is responsible for shaping and executing state-level policy strategy, with a primary focus on pharmacy-related issues, including pharmacist licensure, pharmacy shared services, pharmacy benefit management (PBM), occupational and facility licensure, and federal preemption.
Reporting to the Vice President, Strategy & State Affairs, this role leads the development of state pharmacy policy, supports and informs advocacy efforts, and provides strategic guidance on legislative and regulatory developments affecting Humana's business.
As an individual contributor, the Director plays a key role in advancing enterprise-wide policy positioning, strengthening advocacy effectiveness, and delivering measurable business outcomes. The position also oversees the work of two external consultants, ensuring alignment with Humana's strategic priorities and successful execution of policy initiatives.
This role requires strong cross-functional collaboration with State Affairs, Federal Policy, and business teams to translate policy changes into actionable strategies, mitigate risk, and identify opportunities for growth, while maintaining accountability for influencing internal stakeholders and managing external partner performance.
Key Responsibilities
  • Responsible for state policy portfolio including pharmacist licensure, pharmacy shares services, PBM, occupational/facility licensure, and federal preemption.
  • Analyze, define and communicate critical trends in state legislative and regulatory environments; track state legislation of interest; identify or predict probable legislative or regulatory outcomes.
  • Develop regulatory and legislative responses to proposed rules/laws including regulatory comment letters, issue briefs, talking points, white papers, and PowerPoint presentations.
  • Counsel Humana businesses on state public policy risks/opportunities and translating those into clear business impact analysis.
  • Work with internal business partners to identify assets Humana has to augment public policy positions such as: data; resources; subject matter experts; and "thought leaders".
  • Leverage experience and relationships to support advocacy efforts with state government officials and regulators with specific focus on state boards of pharmacies and National Association of Boards of Pharmacy.

Use your skills to make an impact
Required Qualifications
  • Bachelor's degree (advanced degree preferred)
  • 8+ years in state healthcare policy
  • 5+ years leading policy development and advocacy deliverables with measurable impact
  • Experience managing consultants/vendors with defined performance metrics and delivery timelines
  • Track record of producing policy analyses and written materials used in advocacy efforts
  • Working knowledge of pharmacy and PBM policy, including applicable state and federal regulations
  • Demonstrated ability to translate complex policy into actionable business recommendations
  • Experience influencing cross-functional stakeholders in matrixed organizations to achieve defined objectives
  • Strong written and verbal communication skills, including regular presentations to executive leadership and external stakeholders
  • Proven ability to build and sustain strategic relationships with measurable outcomes (e.g., partnerships, policy influence)
  • Demonstrated success delivering against defined goals, KPIs, or performance metrics

Preferred Qualifications
  • Master's Degree
  • Knowledge of broader health insurance and healthcare policy landscape

Additional Information
  • This is a remote position. (U.S.)
  • Travel at 10%

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$168,000 - $231,000 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 07-05-2026
About us
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

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About Humana

Sourced by ZipRecruiter

Humana Inc., headquartered in Louisville, KY., is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it can better explore opportunities for existing and emerging adjacencies in health care that can further enhance wellness opportunities for the millions of people across the nation with whom the company has relationships.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Louisville, KY, US

Year founded

1961

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