HC Consultants Pharmacy

$109,000 - $222,000/Yr

Aspen Tech Labs - San Diego, CA

Full-time - Senior

Remote - San Diego, CA

About the position

The Senior Consulting Pharmacist position at Milliman's San Diego Health Practice focuses on pharmacy benefits consulting, primarily serving plan sponsors that have contracted with Pharmacy Benefit Managers (PBMs). The role involves managing pharmacy claims data, providing insights to clients, and developing new business opportunities while ensuring high-quality service delivery and cost management.

Responsibilities

• Design and manage data-driven analyses using pharmacy claims data and complex modeling.
• Participate actively as a member of a multi-disciplinary analytics team, fostering the sharing of relevant information and helping to build consensus collaboratively.
• Explain results and provide valuable insights to clients, both orally and in clear, concise client reports.
• Lead meetings and interact with clients at a high level.
• Delegate projects and manage changing priorities.
• Manage data requests, project deadlines, scope of work, and client deliverables.
• Develop new business with current and prospective clients through deep understanding of their specific needs and circumstances.

Requirements

• Minimum of fifteen years PBM or healthcare experience.
• Working knowledge of Microsoft Office suite, including proficiency in Excel.
• Proficiency working with and explaining movements in key PBM performance indicators and pharmacy claims statistics.
• Knowledge of formularies, pharmacy claims data and their nomenclatures, including NDC, AWP, PBM, WAC, etc.
• Knowledge of claims data and how these manifest in claim adjudication and downstream analyses.
• Strong time management and people management skills.
• Experience working in a dynamic environment, demonstrating adaptability and integrity.
• Strong technical communication skills, written and oral.

Benefits

• A 401(k) plan with matching program and profit sharing contribution.
• Employee Assistance Program (EAP).
• A discretionary bonus program.
• Paid Time Off (PTO) starting from the first day of work, accruing 15 days per year for full-time employees.
• Family building benefits, including adoption and fertility assistance and paid parental leave up to 12 weeks.
• Commuter Program for pre-tax parking or public transit expenses.
• A minimum of 8 paid holidays.
• 100% coverage of premiums for life insurance, AD&D, and both short-term and long-term disability coverage.
• Flexible spending accounts for dependent care, transportation, and medical needs.