Senior Pharmacy BenefitsConsultant
$124.5k - $165kJobRx, Inc.
We are seeking a Senior Pharmacy Benefits Consultant to serve as a hands‑on PBM strategy and execution leader within our pharmacy benefits consulting practice at a privately‑owned, growth‑oriented professional services firm. This role is designed for a consultant who will step immediately into a critical, client‑facing role, taking direct ownership of PBM RFPs, market checks, ongoing PBM performance oversight and issue resolution. This role requires a consultant who is highly responsive, detail‑oriented, and proactive, with the judgment and confidence to advocate directly with PBMs on behalf of clients. The successful candidate will be known for timely follow‑through, mastery of client plan design and contract details, and the ability to identify, investigate, and resolve issues. Responsibilities Perform as the primary consultant or engagement lead on PBM RFPs, market checks, negotiations, and contract reviews, with day‑to‑day accountability for timelines, deliverables, vendor interactions, and client communication. Serve as the primary point of accountability for PBM issue identification and resolution, including proactive review of PBM reports, investigation of variances or anomalies, coordination with PBMs to resolve issues, and clear communication of findings and outcomes to clients and internal teams. Provide ongoing, detailed technical review and analysis of PBM data, contracts, guarantees, and financial arrangements, including follow‑through. Collaborate closely with Segal client relationship managers and technical analysts, providing clear guidance to internal account teams on PBM strategy, cost‑savings opportunities, tradeoffs, and modeling scenarios. Support the growth of Segal’s pharmacy consulting business by working with others to identify and cultivate existing and new client opportunities and assist with sales and marketing initiatives, including proposal writing. Own and contribute to growth and new business development efforts, including identifying prospects, shaping sales strategy, leading or supporting RFP responses and proposal development, and partnering with senior leaders to expand pharmacy consulting relationships. Formulate and deliver pharmacy benefit strategies and recommendations that educate and inform clients. Present knowledgeably and confidently about pharmacy benefits in front of boards, commissioners, and senior leadership. Create and collaborate on innovative tools and approaches to quality‑assure and measure the effectiveness of PBM and healthcare company cost and utilization management programs and clinical services for our clients. Qualifications A minimum of 9 years of experience within a PBM and/or benefits consulting environment, with demonstrated experience leading PBM RFPs, market checks, negotiations, and ongoing PBM oversight. In‑depth knowledge of PBM providers, products, services, financial, data reporting, contracting and negotiating elements and processes. Doctor of Pharmacy (PharmD) or RPh degree highly preferred, but not required. Equivalent experience leading PBM RFPs, market checks, contract negotiations, and PBM performance oversight will be considered. Strong technical/analytical and problem‑solving skills. Effective communication, interpersonal and negotiation skills. Demonstrated ability to manage multiple concurrent PBM initiatives with timely responsiveness, strong follow‑through, and clear ownership of outcomes in a deadline‑driven environment. Self‑starter with excellent communication and negotiation skills and demonstrated experience handling multiple projects and assignments in a fast‑paced, deadline‑driven environment. Knowledge of and familiarity with generative AI tools and their practical application to improve analytical workflows, client deliverables, and process efficiency. About Segal and Benefits Segal is a privately owned , leading North American employee benefit, human resources, and investment management consulting firm with over 80 years of history providing 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. The current salary range for this position is $124,500‑$165,000 plus opportunity for a discretionary performance bonus based on company profitability and employee performance. Segal offers a comprehensive suite of benefits to include a non‑contributory defined benefit pension plan, matching and discretionary contributions to a 401(k) profit‑sharing plan, medical and prescription benefits with contributions to a health savings account for eligible employees, dental benefits, life insurance, disability insurance, an Employee Assistance Program, wellness benefit reimbursements and rewards, professional credential and tuition reimbursement, and paid time off including holidays, vacation days, sick leave, paid family leave, and sabbaticals. Segal is committed to creating a fair and transparent hiring process and all hiring decisions will be merit‑driven. If you require accommodation during the interview, please let us know. Application Process If your qualifications align closely with what we have described, we encourage you to apply. Your unique background and skills matter because at Segal, we believe that different experiences and perspectives drive innovation and excellence. We are committed to a merit‑based hiring process. Thank you for considering Segal. #J-18808-Ljbffr JobRx, Inc.
$124.5k - $165k
Job Description - Senior Pharmacy Benefits Consultant (EAS0000007G) Overview This role is a hands‑on PBM strategy and execution leader within our pharmacy benefits consulting practice. The consultant will take direct ownership of PBM RFPs, market checks, ongoing PBM performance...SeniorContract work- LucyRx is hiring a mid-level Clinical Strategy Pharmacist for a full-time role in Bethesda. This position involves leading the formulary strategy to optimize clinical outcomes. Candidates must have a PharmD and over 5 years of relevant experience. The successful candidate...SeniorFull timeRemote work
- ...service. We offer a comprehensive package of benefits including paid time off, health benefits (medical/dental/vision/hearing aid/pharmacy/behavioral health/employee assistance), health care reimbursement account, dependent care assistance plan, short-term disability and...SeniorTemporary work
$115.94k
...Position Title Senior Analyst Position Duties Leveraging educational background in using Python, SQL, etc. to review data and methods to correlate multiple datasets like FDA drug databases, Pharmacy claims data, National drug price databases, and market drug databases,...Senior- ...outcomes and affordability. This role collaborates closely with clinical leadership and operations, requiring a PharmD and 5+ years in pharmacy strategy roles. Key responsibilities include leading formulary development, evaluating clinical guidelines, and contributing to...SeniorRemote job
- ...click here. We offer a comprehensive package of benefits including paid time off, health benefits (medical/dental/vision/hearing aid/pharmacy/behavioral health/employee assistance), health care reimbursement account, dependent care assistance plan, short-term disability...SeniorTemporary work
- Inova Health in Alexandria, Virginia, is seeking a dedicated Senior Clinical Pharmacist for the outpatient Clinical Pharmacy team. This full-time role requires overseeing psychiatric medication management, providing education, and participating in formulary reviews. The...SeniorFull timeRelocation package
- The Council of State and Territorial Epidemiologists is seeking a Senior Clinical Pharmacist for outpatient Clinical Pharmacy. This full-time position involves overseeing psychiatric medication management and requires a PharmD or Bachelor's in Pharmacy, along with experience...SeniorFull time
$124.5k - $165k
The Segal Group, Inc is looking for a Senior Pharmacy Benefits Consultant based in Washington, DC. This hands-on leader will own PBM RFPs and drive client engagement, presenting strategies and recommendations effectively before stakeholders. The ideal candidate will have...Senior$94k - $160k
Prime Therapeutics is looking for a Sr. Data Solution Product Owner to lead pharmacy claims data initiatives in a remote capacity. This role involves managing product discovery, creating action plans, and influencing various stakeholders to ensure successful deliverables...SeniorRemote job- AbsoluteCARE Medical Center & Pharmacy in Greenbelt, Maryland, is looking for a Complex Care Advanced Practice Provider to manage patients with chronic conditions in an outpatient setting. The role involves coordinating care with a diverse team, developing care plans,...Senior
- Humana Inc. is seeking a Senior Clinical Pharmacist to monitor clinical criteria and provide clinical support for internal stakeholders... ...complex data, develops drug lists and coverage policies for pharmacy and medical products, and influences strategy with substantial...SeniorRemote job
$124.5k - $165k
JobRx, Inc. is seeking a Senior Pharmacy Benefits Consultant to lead PBM strategy and execution within their consulting practice. The successful candidate will have at least 9 years of experience in benefits consulting and will be responsible for managing PBM RFPs and resolving...Senior- Capacity Path is seeking a dedicated Senior Clinical Pharmacist for Ambulatory Behavioral Health to join the outpatient Clinical Pharmacy team in Alexandria, VA. This full-time role includes oversight of patients referred for psychiatric medication management, participation...SeniorFull timeRelocation package
- ...leading an integrated team and managing policy analysis to improve Medicare services. The ideal candidate will have over 15 years in pharmacy roles and extensive experience with Medicare Part B and D. Benefits include comprehensive health, retirement, and professional...Senior
- Inovalon Inc in Bowie, MD is seeking a highly experienced Senior Business Analyst to support enterprise SaaS implementations. The role involves leading complex implementations and optimizing pharmacy billing processes, serving as a critical liaison among various teams....SeniorRemote jobWork at office2 days per week
$78.9k - $147.5k
A health organization is seeking a Senior Pharmacist to lead specialty pharmacy initiatives. The role requires strong program management skills and collaboration with interdisciplinary teams within healthcare. Candidates should have at least 3 years of health care experience...SeniorRemote work- Vontier is seeking a Senior Manager, Product for Dispenser & Payment Terminal Asset Management to shape strategy, prioritize requirements, and align with engineering, sales, and marketing to deliver value. Reporting to the Sr Director, Product Management, this role supports...SeniorRemote job
- Inova Health is seeking a dedicated Senior Clinical Pharmacist - Ambulatory Behavioral Health to join the outpatient Clinical Pharmacy team. This role will be full‑time Monday - Friday, day shift. Sign‑on Bonus & relocation assistance eligible. Responsibilities Integrated...SeniorFull timeLocal areaRelocation packageMonday to FridayDay shift
$88.5k - $110.5k
...Cross and Blue Shield Association in Chicago seeks a Health Care Analyst with 5-8 years of experience in health plans or specialty pharmacy. The role involves developing reporting tools, collaborating on client projects, and managing rebate invoicing processes....Senior- Pharmacy First Health is looking for a Senior Associate in Finance to assist the CEO with financial strategy and capital formation. The role involves building financial models to support the company's growth and facilitating fundraising efforts. The ideal candidate should...Senior
- Blue Shield of California is seeking a Sr. Manager, Program and Project Management within the Pharmacy team to drive pharmacy accounts and sales support, support membership growth, and lead client renewal activities for employer group accounts. You will partner with stakeholders...Senior
- The Senior Clinical Research Associate (Sr. CRA) is responsible for the site management, site monitoring and close-out of assigned clinical... ...or professional degree in life sciences such as nursing, pharmacy, medical background or equivalent #LI-LO1 #LI-REMOTE EEO Disclaimer...SeniorLocal areaRemote work
- Humana Inc. is seeking a Senior Program Delivery Professional to manage and execute on Stars, Clinical, and Pharmacy projects within the In-home Health and Well-being Assessment Team. You will lead complex programs, analyze data, and drive improvements across multiple stakeholders...SeniorRemote job
- ...clinical infrastructure for rural America by transforming independent pharmacies into integrated care delivery hubs. Our model combines primary... ...access, outcomes, and cost efficiency. Role Overview The Senior Director, Clinic Operations, will own the day-to-day execution...Senior
- ...of Alexandria, we invite qualified candidates to apply for our Senior Clinical Psychiatrist position. An Overview The Senior Clinical... ...to rules and regulations of the Boards of Medicine and Pharmacy; Provides oversight of ACT medication room; Maintains clear...SeniorPart timeWork at officeLocal areaFlexible hoursAfternoon shift
- ...Job Description Job Description Title: Grants Manager/Senior Grants Manager FLSA Category: Exempt Reports To: Chief Financial... ...Title X family planning, dental care, behavioral health, WIC, pharmacy services, and the Ryan White HIV/AIDS program. Our patient...SeniorWork at office
$118.88k - $139.31k
## Senior Data EngineerApplylocations: Bethesda Officetime type: Full timeposted on: Posted 7 Days Agojob requisition id: JR100099It'... ...required.**What We Do**LucyRx is an independent, next-generation pharmacy benefits manager (PBM) transforming how healthcare works. We’re...SeniorWork at officeRemote work- ...assists the pharmacist, under direct supervision, in the practice of pharmacy. Assists the pharmacist in the performance of other Pharmacy... ...latest news and developments. Job ID: 1840670BR Title: Senior Pharmacy Technician Company Indicator: Walgreens...SeniorHourly payPart timeWork experience placementWork at officeLocal areaImmediate startFlexible hoursShift workAfternoon shift
$725 per month
Overview Wellness LPN or LVN Nurse job at Brookdale Senior Living. Bowie, MD. Recognized by Newsweek in 2024 and 2025 as one of America... ...plans prescribed by a physician. Coordinate with providers and pharmacies to ensure continuity of care. Nurses also monitor responses to...SeniorHourly payFull timeTemporary workPart timeFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Senior Pharmacy BenefitsConsultant. Be the first to apply!
- senior trade analyst Washington DC
- senior app developer Washington DC
- senior customer service advisor Washington DC
- senior international account manager Washington DC
- senior magento developer Washington DC
- senior quantitative risk analyst Washington DC
- senior business development director Washington DC
- sr marketing manager Washington DC
- sr technical product manager Washington DC
- senior research manager Washington DC


