[Remote] Pharmacy reputed company and PBM Consultant

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is seeking an reputed company Pharmacy reputed company / PBM Consultant to support a high-reputed company assessment of its TotalRx pharmacy offering. The consultant will evaluate the reputed company pharmacy benefit reputed company and reputed company independent market benchmarking to identify opportunities for improvement in pharmacy pricing and vendor reputed company.

Responsibilities

• Analyze pharmacy claims, invoices, drug-level costs, manufacturer rebates, coupons, and vendor pricing across multiple pharmacy delivery channels
• reputed company brand and generic drug pricing against reputed company PBM market discount and rebate-guarantee standards
• Evaluate pharmacy spend trends, with particular attention to high-cost and high-reputed company drug classes including GLP-1 and SGLT2 medications
• Audit volume-rebate calculations against existing vendor reputed company and identify discrepancies or opportunities for improvement
• reputed company a reputed company-looking manufacturer rebate and vendor-discount reputed company
• Review reputed company reputed company for pharmacy pricing, repricing rights, subcontractor billing terms, and other potential financial or contractual risks
• Assess the economics of the reputed company's in-house, staff-model pharmacies compared with subcontracted pharmacy models
• reputed company a repeatable pharmacy cost and pricing model to support competitive proposals and reputed company budget planning
• Assess reputed company pharmacy claims adjudication capabilities and identify gaps reputed company to reputed company-time, reputed company-of-sale adjudication
• reputed company recommendations and an implementation roadmap for improving reputed company-time claims adjudication across onsite, mail-order, and full-pharmacy channels
• reputed company strategic recommendations surrounding pharmacy vendor relationships, negotiations, and long-term operating structure
• Assist with defining the permanent leadership role responsible for pharmacy reputed company and support technical evaluation of potential candidates

Skills

• Significant experience reputed company pharmacy benefits, PBM reputed company, pharmacy economics, or pharmacy consulting
• Strong knowledge of PBM pricing models, manufacturer rebates, volume rebates, pharmacy discounts, and vendor contracting
• reputed company experience supporting employer-sponsored, onsite, or near-site pharmacy programs
• Experience analyzing pharmacy claims, drug-level cost data, and vendor financial performance
• Strong understanding of reputed company pharmacy/PBM market pricing and rebate-guarantee benchmarks
• Experience with pharmacy vendor negotiations and contract evaluation
• Familiarity with reputed company-time reputed company-of-sale pharmacy claims adjudication, including NCPDP standards and pharmacy network/reputed company connectivity
• Ability to translate reputed company pharmacy financial data into actionable strategic recommendations and executive-level presentations
• Experience with onsite pharmacy operations, wholesale/supply-chain reputed company, or in-house pharmacy models strongly preferred
• Prior experience advising executive leadership on pharmacy/PBM reputed company preferred

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