Pharmacy Financial Consultant

Overview

This role involves providing financial analysis and modeling support related to prescription drug benefits and pharmacy benefit programs. The Pharmacy Financial Consultant will support pharmacy benefit manager evaluations, contract negotiations, and ongoing pharmacy account management in collaboration with the Pharmacy Team and the account management team.

Responsibilities

• Support internal consulting and sales teams by performing financial, contractual, and market analyses related to pharmacy benefit programs, including use of proprietary tools to evaluate contract value and competitiveness.
• Assist with annual MMA East Rx Coalitions contract negotiation process by providing financial analysis support at the direction of the Pharmacy Practice Leader using MMA East proprietary models.
• Perform analysis and help negotiate contract terms with the Pharmacy Benefit Manager (PBM) in conjunction with the MMA East Account Manager and Underwriter on behalf of clients to secure optimal, cost-competitive pharmacy procurement.
• Review, validate, and reconcile marketing results, client proposals, and contract performance to help ensure accuracy, compliance, and achievement of agreed-upon financial and service guarantees throughout the plan year.
• Complete market check evaluations to confirm contract competitiveness.
• Support specialized client arrangements, including in-house pharmacies, 340B programs, third-party audits, and other unique pharmacy benefit considerations, with guidance from the Pharmacy Practice team.
• Support the yearly PBM marketplace evaluation through a detailed RFI, analyzing formulary, networks, pricing models, and clinical management programs to help support a streamlined RFP process and inform account teams and clients of available market solutions to optimize overall pharmacy spend.
• Participate in prospective client data analysis and presentations.
• Partner with Pharmacy Practice and account team members to develop client deliverables, including stewardship reports, quarterly reporting, dashboards, client service plans, and other materials that support ongoing account management and client strategy.
• Work with internal operations teams on deployment and ongoing maintenance of pharmacy database systems to streamline processes and support Pharmacy Practice operations.
• Contribute to practice development and knowledge-sharing through support of newsletters, webinars, training materials, and other team resources, as well as participation in special projects as needed.
• Maintain quality service standards to ensure timely service to the MMA East team.
• Stay informed on developments in the pharmacy marketplace, including industry consolidation, employer coalitions, transparent contracting models, outcomes-based arrangements, gene therapy solutions, and legislative or regulatory changes that may affect clients or the business.

Requirements

• Bachelor’s degree in business, finance, economics, healthcare, risk management, mathematics, or a related field preferred; equivalent professional experience will also be considered.
• Minimum of five years prior work experience with prescription drug benefits and pricing in the Benefits Brokerage, Consulting, or Insurance industry.
• Working knowledge of pharmacy benefit concepts such as plan design, pricing models, rebates, formulary management, networks, specialty pharmacy, and vendor performance measurement.
• Effective analytical, math, and problem-solving skills; sound judgment and strong decision-making ability; confidence to make difficult decisions.
• Excellent communication skills.
• Organized and detail-oriented, able to translate big-picture ideas into client objectives.

Knowledge, Skills, and Abilities

• Strong consulting orientation with ability to move beyond data gathering to shape clear, practical recommendations.
• Strong written and verbal communication skills, including tailoring messages for internal teams, clients, and executive audiences.
• Excellent troubleshooting, decision-making, and problem-solving skills.
• Proven ability to support multiple projects simultaneously with attention to detail and process.
• Ability to work in a fast-paced environment requiring flexibility, initiative, and strong follow-through.
• Ability to prioritize projects and meet deadlines.
• Ability to follow through and successfully execute tasks while adhering to specified quality standards.
• Ability to effectively interact with internal and external customers.
• Demonstrated high emotional intelligence (EQ) in interactions related to clients and internal teams.
• Intermediate knowledge of MS Office Suite (Word, Excel, Access, Outlook); working knowledge of pivot tables; Power BI and SQL with query writing experience preferred.

Physical Demands and Work Environment

• Physical demands described are representative of those an employee must meet to perform essential job functions; reasonable accommodations may be made for individuals with disabilities.
• While performing job duties, the employee is:
  • Frequently required to sit; speak or hear; use hands to finger, handle, feel objects, and reach with hands and arms.
  • Occasionally required to stand and walk.
  • Extensive use of computer and keyboard and viewing of computer screen.
  • Specific vision abilities required, including vision and ability to adjust focus.
• Other working conditions are normal for an office environment.

Compensation & Benefits

• Applicable base salary range for this role: $71,800 to $133,700.
• Base pay will be determined based on factors such as experience, skills, training, location, certifications, education, and any applicable minimum wage requirements; decisions will be determined case-by-case.
• In addition to base salary, this position may be eligible for performance-based incentives.

Benefits described include:

• Health and welfare benefits
• Tuition assistance
• 401K savings and other retirement programs
• Employee assistance programs
• Generous time off, including personal and volunteering
• Charitable contribution match programs
• Stock purchase opportunities

Location

Not specified in the provided description.

Application Deadline

Applications will be accepted until December 31, 2026.