Pharmacy Consultant

TRS•Austin, TX

6d•Onsite

About The Position

With the Health Division, you’ll be joining a passionate team of self-motivated change agents united by our mission: driving to design the delivery of high-quality healthcare for nearly three-quarters of a million active and retired Texas public educators. The healthcare industry is complex and we’re a team of problem-solvers who are up for the challenge. With a focus on innovation and collaboration to catalyze the market, we spend nearly $4 billion annually on healthcare to make a difference in our members’ lives. With a career at TRS, you’ll be empowered through a culture of continuous learning, front-line decision-making, coaching and mentorship to shape the future of our work, while transforming healthcare delivery for 1 in 41 Texans. TRS is seeking an innovative and experienced Pharmacy Consultant to help drive pharmacy and medical drug strategies for one of the largest public-sector health plans in Texas. The ideal candidate is a licensed pharmacist with strong pharmacy benefit management expertise who can translate complex clinical and financial data into actionable insights that improve health outcomes and manage drug costs. This role is well suited for a strategic, collaborative professional who thrives in a fast‑paced environment and values mission‑driven work with meaningful impact.

Requirements

Doctor of Pharmacy (PharmD) from an accredited college or university.
Five (5) years of directly related, progressively responsible experience Pharmacy Benefit Management, Pharmacy Consulting, Health Plan Administration, or closely related experience.
Active pharmacist license in good standing.

Nice To Haves

Experience leading or contributing to pharmacy and therapeutics presentations, DUR, utilization management, formulary management, or specialty drug strategies.
Experience querying large claims data sets using SQL and data visualization tools.
Experience with developing, implementing, and monitoring innovative strategies that produces efficiencies for health plan or payers
Experience in specialty pharmacy operations.
Knowledge of Healthcare infrastructure to provide efficiencies for health plan management (member experience, provider experience, pharmacy dispensing practices, and PBM administrative duties).
Healthcare payer or PBM strategic decision‑making
Skill in Collaborating with cross‑functional partners (actuarial, finance, operations).
Ability to Analyze clinical and financial considerations for different treatments across pharmacy and medical benefit.
Ability to Analyze drug pricing benchmarks and pharmacy reimbursement frameworks.
Ability to Communicate and present to cross functional teams.
Ability to Successfully implement innovative solutions or ideas.

Responsibilities

Identifies clinical trend drivers and cost‑saving opportunities across both pharmacy and medical drug spend to guide benefit and clinical program decisions and deliver clear, actionable recommendations.
Leads and participates in recurring vendor meetings relating to clinical pharmacy initiatives, including comprehensive vendor reviews, independent strategy/performance assessments, and ongoing operational and strategic work sessions.
Develops and executes customized strategic plans to achieve targeted short‑ and long‑term goals.
Designs, tailors, and implements evidence‑based clinical programs (e.g., prior authorization, formulary management, utilization management).
Uses and interprets large claims data sets and clinical data, as well as PBM and other vendor program indicators/reports to identify cost savings or clinical improvement opportunities and monitor program performance.
Stays current on regulatory changes, drug pricing updates, compendia updates, and market trends; translate impact and recommended actions to drive internal decision-making.
Serves as a subject matter expert (SME) and collaborate across actuarial, finance, and operations to meet health plan goals.
Acts as a liaison relating to clinical pharmacy initiatives between internal teams and vendors, ensuring alignment, clear communication, and timely execution.
Leads the identification and development of initiatives that reduce health plan drug costs while enhancing clinical outcomes and member experience.
Performs related work as assigned.