Managed Care Pharmacist Consultant jobs in United States
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AArete · 3 days ago

Managed Care Pharmacist Consultant

AArete is a global, innovative management and technology consulting firm, and they are seeking a licensed pharmacist to join their healthcare consulting team as a senior solution consultant. This role focuses on medical drug and pharmacy benefit performance consulting, leveraging managed care pharmacy and analytics experience to identify drug trends and deliver actionable recommendations.

Management Consulting
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Responsibilities

Work in a matrix management environment as a member of the pharmacy team, supporting multiple projects and actively participating in client-facing meetings
Lead the development and identification 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
Stay up to date on regulatory changes, drug pricing updates, compendia changes, and market trends that impact pharmacy benefit strategy and clinical programs
Prepare client-ready deliverables
Exercise excellent judgment and communicate clearly and directly with clients and internal partners throughout project execution
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

Qualification

Managed care pharmacy experiencePharmacy benefit managementAnalytical skillsLicensed PharmacistPeople management experienceMicrosoft Excel proficiencyProfessional communication skillsCoachingMentoringProblem-solving skills

Required

6+ years of managed care pharmacy experience in a health plan, PBM, or integrated health system
4+ years of experience in the healthcare industry, specifically on the payer side
2+ years of people management experience, with proven ability to lead and work closely with teams while also managing day-to-day responsibilities
Licensed Pharmacist
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
Experience leading a team or managing projects with measurable outcomes
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
Direct client interaction, including possible travel to client location
Must be legally authorized to work in the United States without the need for employer sponsorship

Preferred

Experience working in a consulting environment with direct client engagement
Experience with healthcare payer or PBM strategic decision-making
Experience analyzing drug pricing benchmarks, compendia, and pharmacy reimbursement policy frameworks
Experience collaborating with cross-functional teams including actuarial, clinical, finance, or operations
Familiarity with data visualization tools or automated analytics workflows
Demonstrated ability to translate complex analytical findings into compelling, client-ready deliverables and strategic recommendations
Prior experience in projects involving regulatory change interpretation or market trend analysis
Remote work with flexibility 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, STD, LTD
Charitable contribution matching program
New client commission opportunities and referral bonus program
Bike share discount program

Company

AArete is a management consulting company specializing in operational performance improvement and strategic cost reduction services.

Funding

Current Stage
Growth Stage
Total Funding
unknown
2025-06-24Private Equity

Leadership Team

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Loren Trimble
Chief Executive Officer
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Company data provided by crunchbase