Note: The job is a remote job and is open to candidates in USA. AArete is a global management and technology consulting firm specializing in strategic profitability improvement, digital transformation, and strategy and change. The Senior Consultant, Pharmacy will lead pharmacy program initiatives, client implementations, and transformation projects while identifying cost-saving opportunities through pharmacy analytics, drug pricing, reimbursement, and operational strategy. The role also involves preparing client deliverables, supporting automation and workflow improvements, and participating in client-facing engagements.
Responsibilities
- Lead the development, identification and root cause of pharmacy opportunities through remediation with client counterparts
- Staying up to date on current events, changes in regulatory requirements and market trends impacting health plan reimbursement
- Exercise excellent judgement and clear and direct communication in all aspects of your work
- Work in a matrix management environment as a member of the pharmacy team, supporting multiple projects and actively participating in client-facing meetings
- Drive the design and delivery of opportunities to reduce payer drug costs, partnering closely with internal teams to implement recommendations
- Utilize analytics to uncover trends across pharmacy and medical drug spend, applying your knowledge of drug pricing and reimbursement methodologies (AWP, WAC, NADAC, MAC, CMS ASP), formulary strategy, and utilization management programs
- Support the advancement of automation and improved workflows in pharmacy analytics, reporting, and operational processes
- Maintain knowledge on regulatory changes, drug pricing updates, compendia changes, and market trends that impact pharmacy benefit strategy and clinical programs
- Prepare client-ready deliverables
- Apply strong critical thinking and analytics skills to identify patterns, inconsistencies, and opportunities within pharmacy and medical claims and develop practical recommendations and strategies for clients
- Other duties as assigned
Skills
- 4+ years of experience in a role within pharmacy, PBM, pharmacy consulting or managed care organization
- Strong professional communication skills, including written, verbal, interpersonal, and in-person presentation expertise
- Experience coaching and mentoring team members
- Advanced proficiency in Microsoft Excel for data analysis and insights development
- Strong analytical, data interpretation, and problem-solving skills
- Ability to identify client savings opportunities and develop actionable insights or business cases
- Bachelor's degree or equivalent
- Must be legally authorized to work in the United States without the need for employer sponsorship
- Experience in healthcare systems and digital platforms, Claims Adjudication and related tools, with the ability to leverage these systems to improve data quality, operational efficiency, and end-to-end healthcare processes
- Doctor of Pharmacy (PharmD)
- Expertise in pharmacy operations
- Basic/intermediate SQL for data analysis
- Demonstrated experience in pharmacy benefit management inclusive of benefit design, formulary strategy, utilization management programs, clinical programs PBM contracting, and analytics and reporting
- Track record in pharmacy and medical drug utilization analysis, cost containment, or value-based pharmacy strategy
- Based in Chicago, IL, and flexible to work from our Chicago office as needed
Benefits
- Flexible PTO, monthly half-day refuels, volunteer time off, 10 paid holidays
- Own Your Day flexible work policy
- Competitive majority employer-paid benefits: Medical, Dental, Vision, 401K Match
- Generous paid parental leave options
- Employer-paid Life Insurance, Short Term Disability, Long Term Disability
- Charitable contribution matching program
- New client commission opportunities and referral bonus program
- Bike share discount program
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