Director, Pharmacy Consulting
Oswald CompaniesAbout the role
Would you like to take ownership in a dynamic, high-growth business that truly walks the talk?
Oswald Companies seeks goal-driven professionals ready to take their career to the next level.
Job Summary: We are seeking a highly analytical and client-focused Director, Pharmacy Consulting, to join our employee benefits consulting team. In this role, you’ll serve as a leader and Subject Matter Expert (SME) on pharmacy benefits and play a critical part in evaluating PBM (Pharmacy Benefit Manager) contracts, analyzing pricing proposals, and delivering strategic insights to employer clients. . In addition to consulting responsibilities, you will play a central role in assessing and developing the pharmacy support infrastructure that enables scalable, high-quality service delivery across the organization. The ideal candidate will have a solid background in pharmacy benefits, data analysis, and effective client communication.
Key Responsibilities:
Pharmacy Strategy & Expertise
- Serve as an internal SME on pharmacy benefit design, PBM contracting, and clinical program evaluation.
- Stay informed on pharmacy industry trends, regulatory updates, and innovations in pharmacy benefits.
- Cultivate collaborative relationships with PBMs and other pharmacy stakeholders
Pharmacy Support Structure Development
- Evaluate current internal processes and resources supporting pharmacy consulting services.
- Identify gaps and opportunities to strengthen operational support, tools, and systems.
- Contribute to designing and building a scalable pharmacy support structure to meet growing business needs.
- Collaborate with leadership to implement best practices and enhance team capabilities.
- Champion best practices to foster consistency, reliability, and cross-functional alignment.
Contract & Pricing Evaluation
- Review and assess PBM contracts, including rebate guarantees, pricing terms, and performance guarantees.
- Evaluate RFP responses and pricing proposals from PBMs and other pharmacy vendors.
- Identify cost-saving opportunities and recommend clinical program enhancements.
- Monitor performance against contracted terms and conditions
Client Reporting & Engagement
- Present findings, benchmarking insights, and strategic recommendations in a clear, compelling way.
- Support consultants in developing pharmacy strategies aligned with client goals.
- Translate complex data into actionable insights for non-clinical audiences.
Data Analysis & Financial Modeling
- Analyze pharmacy claims to identify trends, utilization patterns, and cost drivers.
- Support the development of financial models and forecasting tools related to pharmacy spend.
Cross-Functional Collaboration
- Partner with actuarial, clinical, and account management teams to deliver integrated benefit solutions.
- Serve as a pharmacy resource to account teams by providing training, tools, and strategic guidance to enhance their understanding of PBM contracts and financial terms
- Participate in client renewals, vendor negotiations, and multi-disciplinary planning sessions
Qualifications:
- Education & Credentials:
- PharmD or Bachelor’s in Pharmacy (preferred), or equivalent experience in pharmacy benefits.
- Advanced degree in health economics, public health, or business is a plus.
- Experience:
- 10+ years of experience in pharmacy benefits, PBM operations, or pharmacy consulting.
- 10+ years of financial analysis experience
- Experience working with or for a PBM, health plan, or benefits consulting firm is highly desirable.
- Skills:
- Strong analytical and financial acumen.
- Proficiency in Excel and data visualization tools (e.g., Tableau, Power BI).
- Excellent written and verbal communication skills.
- Ability to manage multiple projects and deadlines in a fast-paced environment
Who You Are:
- A confident presenter with strong negotiation skills, comfortable explaining complex topics and handling objections.
- Exceptionally organized, with the agility to move between projects quickly.
- A logical problem-solver who works independently and takes initiative.
- Consistently positive and professional, leading by example even under pressure.
- A strong communicator, both verbally and in writing, with a client-first mindset.
Who is Oswald?
Oswald is a 129-year-old company that creates a world of protection around the lives and businesses of our clients.
We are an independent,
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