Senior Pharmacy Management Consultant (Cmh Health)

Who We Are 

Milliman is a healthcare consulting company having broad expertise to support a variety of different clients. Each project team is selected to support the client’s needs and may require a cross-functional approach. The project team may include pharmacists, doctors, actuaries, health care analysts, and data scientists.

The health practice is a high-performing environment with multiple subject matter experts, who work together to solve complex problems related to pharmacy benefits, reimbursement, supply, and strategy.

The Senior Pharmacy Management Consultant will be developing and delivering innovative, market-leading strategies that will encompass various markets and pharmacy stakeholders while being able to learn from other subject matter experts within the cross-functional team.

Job Responsibilities

• Ability to engage in and contribute to strategic discussions with executive c-suite level leadership in the pharmacy benefits area.
• Use pharmacy clinical and financial knowledge to diagnose and solve client problems in a managed care setting.
• Manage client relationships within large matrix organizations.
• Design and deliver innovative strategic support to clients by developing proposals, creating presentations, and delivering innovative, market-leading recommendations to clients.
• Serve as a subject matter expert of pharmacy reimbursement strategy with payer clients.
• Create new and expand upon existing consulting relationships with health plans, PBMs, pharmaceutical manufacturers, and other entities of the pharmacy supply chain. 

 Potential projects could include:

• Medicare Part D, Medicaid, and/or commercial pharmacy formulary analyses
• Lead PBM RFPs for payer clients, day to day consulting and PBM audits
• Strategic support in pharmaceutical M&A or joint venture

Minimum requirements

• 10+ years of PBM or relevant consulting experience
• Proficiency using Microsoft Excel
• Basic proficiency using Microsoft Word and Power Point
• Master of Business Administration, Master of Public Health, or other relevant degree preferred

Competencies and Behaviors that Support Success in this Role 

• 15+ years working experience, preferably at a consulting firm, PBM, managed care organization, health plan, or pharmaceutical company
• Experience working with Medicare, Medicaid, PBMs, Pharmaceutical Manufacturers, and/or commercial payers
• Experience solving complex problems with innovative, creative solutions.
• Experience understanding large pharmacy claims data sets
• Deep understanding of pharmacy purchasing and reimbursement environment including pharmacy cost metrics such as average wholesale price, wholesale acquisition costs, average sales price, actual acquisition costs, and rebates
• Strong sense of accountability and business acumen

The Team 

Milliman is one of the leading experts in healthcare financing and delivery. We advise clients on a wide range of issues—from assessing the impact of healthcare reform on organizations or populations to streamlining operations while advancing the quality of patient care. Our consulting work is supported by a powerful toolkit of data analytics solutions and informed by the most trusted, comprehensive set of cost guidelines in the industry. 

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. 

Salary: The salary range is $165,000 to $345,000, depending on a combination of factors, including but not limited to education, relevant work experience, qualifications, skills, certifications, location, etc. This role is open to candidates who can work remotely anywhere in the US.  

Location: This role is based out of the Milliman offices in Chicago, IL, Milwaukee, WI, Hartford, CT, but candidates hired into this role may work remotely anywhere in the US.

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:

• Medical, dental and vision coverage for employees and their dependents, including domestic partners
• A 401(k) plan with matching program, and profit sharing contribution
• Employee Assistance Program (EAP)
• A discretionary bonus program
• Paid Time Off (PTO) starts accruing on the first day of work and can be used for any reason; full-time employees will accrue 15 days of PTO per year, and employees working less than a full-time schedule will accrue PTO at a prorated amount based on hours worked
• Family building benefits, including adoption and fertility assistance and paid parental leave up to 12 weeks for employees who have worked for Milliman for at least 12 months and have worked at least 1,250 hours in the preceding 12-month period
• A minimum of 8 paid holidays
• Milliman covers 100% of the premiums for life insurance, AD&D, and both short-term and long-term disability coverage
• Flexible spending accounts allow employees to set aside pre-tax dollars to pay for dependent care, transportation, and applicable medical needs

This job posting is expected to close on May 31, 2024.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)