Pharmacy Consulting Analyst

Job Summary:

We are seeking a highly analytical and client-focused Pharmacy Consulting Analyst to join our pharmacy consulting team. This role combines strategic analytics PBM procurement and operational support to help employer clients optimize their pharmacy benefit programs.

The Pharmacy Consulting Analyst will support pharmacy benefit manager (PBM) RFP processes including preparation evaluation and vendor negotiations while leveraging pharmacy claims data to identify cost drivers and savings opportunities. This role is responsible for developing financial models analyzing plan design strategies and delivering clear data-driven insights to support client decision-making.

In addition to strategic responsibilities the role supports operational execution by coordinating documentation facilitating data exchanges between PBMs and Unison Risk Advisors ensuring compliance and assisting with reporting and project management. The ideal candidate is detail-oriented analytically strong and comfortable working in a fast-paced consulting environment.

Key Responsibilities:

Prepare distribute and evaluate PBM RFPs ensuring alignment with client goals and financial competitiveness

Assist in negotiating pricing terms rebates and contract provisions with PBM vendors

Analyze pharmacy claims data to identify utilization trends cost drivers and savings opportunities

Assist with modeling financial impact of plan design changes formulary strategies and procurement approaches

Develop clear data-driven client deliverables including executive summaries and presentations

Monitor PBM market trends specialty drug management strategies and regulatory developments to inform client recommendations

Conduct benchmarking analyses comparing pharmacy pricing programs and performance across the market

Support consulting teams by preparing materials for client meetings RFP processes and strategy reviews

Compile reporting on claims experience high-cost medications and year-over-year spend trends

Facilitate data requests and reconciliations between PBMs clients and internal analytics teams

Monitor PBM service-level performance and escalate issues impacting client outcomes

Ensure compliance with HIPAA and regulatory requirements when handling sensitive data

Provide project coordination support including scheduling tracking timelines and managing deliverables

Maintaining paperwork audit documentation processing billing and invoicing information and supporting pharmacy leadership with reporting and administrative projects

Perform ad hoc analyses in response to client or broker requests

Qualifications:

Education & Credentials:

Bachelor of Science in Business Healthcare Administration or Economics Relevant Coursework: Healthcare Finance Data Analytics Health Policy Pharmacy Benefit Management

Experience:

3 years of experience in pharmacy benefits PBM contracting pharmacy analytics or pharmacy consulting

Strong understanding of PBM pricing models rebate structures formulary management and specialty drug strategies

Experience managing RFP processes and vendor negotiations

Experience working with or for a PBM health plan or benefits consulting firm is highly desirable.

Experience working with large data sets

Skills:

Strong analytical and financial acumen.

Proficiency in Excel (pivot tables formulas charts) 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:

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.