HC Consultants Pharmacy

Who We Are

Independent for over 75 years, Milliman delivers market-leading services and solutions to clients worldwide. Today, we are helping companies take on some of the world’s most critical and complex issues, including retirement funding and healthcare financing, risk management and regulatory compliance, data analytics and business transformation.

Milliman invests in skills training and career development, and gives all employees access to a variety of learning and mentoring opportunities. Our growing number of Milliman Employee Resource Groups (ERG’s) are employee-led communities that influence policy decisions, develop future leaders, and amplify the voices of their constituents. We encourage our employees to give back to their varied professions, including leadership in professional organizations. Please visit our web site (https://www.milliman.com/en/social-impact) to learn more about Milliman’s commitments to our people, diversity and inclusion, social impact and sustainability.

Through a team of professionals ranging from actuaries to clinicians, technology specialists to plan administrators, we offer unparalleled expertise in employee benefits, investment consulting, healthcare, life insurance and financial services, and property and casualty insurance.

Who We Are

This full-time position is for the pharmacy benefits consulting team within the Milliman’s San Diego Health Practice, which primarily serves plan sponsors that have contracted with PBMs to provide pharmacy benefits. The team helps plan sponsors work with their PBMs to deliver a high level of service to their members while also managing costs.

The Department/Team

The San Diego Health practice includes employees with diverse areas of experience and expertise in the pharmacy space. Current employees include those that have worked as actuaries, PBM analysts/consultants, pharmacists, and pharmacy technicians. 

What You Will Do

We are looking for a Senior Consulting Pharmacist for our growing practice. Pharmacy benefits consulting work is, by nature, constantly changing and rarely routine. Applicants must have a deep understanding of pharmaceuticals and pharmacy benefits management (PBM) and feel comfortable working in an environment that requires attention to detail, collaboration, integrity, and adaptability.

Key responsibilities will include the following:

• Design and manage data-driven analyses using pharmacy claims data and complex modeling
• Participate actively as a member of a multi-disciplinary analytics team, fostering the sharing of relevant information and helping to build consensus collaboratively
• Explain results and provide valuable insights to clients, both orally and in clear, concise client reports
• Lead meetings and interact with clients at a high level
• Delegate projects and manage changing priorities
• Manage data requests, project deadlines, scope of work, and client deliverables

Develop new business with current and prospective clients through deep understanding of their specific needs and circumstances

What We Are Looking For

Professional Qualifications

• Minimum of fifteen years PBM or healthcare experience.
• Working knowledge of Microsoft Office suite, including proficiency in Excel
• Proficiency working with and explaining movements in key PBM performance indicators and pharmacy claims statistics
• Knowledge of formularies, pharmacy claims data and their nomenclatures, including NDC, AWP, PBM, WAC, etc.
• Knowledge of claims data and how these manifest in claim adjudication and downstream analyses

Personal Qualifications

• Strong time management and people management skills
• Experience working in a dynamic environment, demonstrating adaptability and integrity
• Strong technical communication skills, written and oral

Location

This role is based out of the Milliman office in San Diego, California, State, but candidates hired into this role may work remotely anywhere in the US.

The expected application deadline for this job is December 15, 2024.

Compensation

The base salary range for this role is $109,000 - $222,000, depending on a combination of factors, including, but not limited to, education, relevant work experience, qualifications, skills, certifications, location, etc.

Benefits

At Milliman, we focus on creating an environment that recognizes – and meets – the personal and professional needs of the individual and their family. We offer competitive benefits which include the following based on plan eligibility:

• A 401(k) plan with ma