Senior Consulting Pharmacist

Milliman

Senior Consulting Pharmacist in San Diego health practice supporting pharmacy benefits management needs. Engaging with healthcare clients to enhance pharmaceutical service quality and compliance.

Posted 5/15/2026full-timeRemote • California • 🇺🇸 United StatesSenior💰 $203,200 - $397,210 per yearWebsite

About the role

Key responsibilities & impact

Interact with clients at a high level, serving as a clinical resource for clients to strengthen pharmacy programs and improve quality
Manage PBM selection, implementation, and oversight
Design and manage data-driven analyses using pharmacy claims data and complex modeling
Provide valuable quantitative and qualitative insights to clients, both orally and in clear, concise client reports
Review and provide guidance to clients on applicable regulatory changes.
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

Requirements

What you’ll need

PharmD from an ACPE accredited program
Minimum of fifteen years PBM or healthcare experience
Demonstrated clinical and formulary management expertise
Proficiency working with and explaining movements in key PBM performance indicators and pharmacy claims statistics
Knowledge of pharmacy claims data and their nomenclatures, including NDC, AWP, PBM, WAC, etc. and how these manifest in claim adjudication and downstream analyses
Working knowledge of Microsoft Office suite, including proficiency in Excel
Individual(s) must be legally authorized to work in the United States without the need for immigration support or sponsorship from Milliman now or in the future.

Benefits

Comp & perks

Medical, Dental and Vision – Coverage for employees, dependents, and domestic partners.
Employee Assistance Program (EAP) – Confidential support for personal and work-related challenges.
401(k) Plan – Includes a company matching program and profit-sharing contributions.
Discretionary Bonus Program – Recognizing employee contributions.
Flexible Spending Accounts (FSA) – Pre-tax savings for dependent care, transportation, and eligible medical expenses.
Paid Time Off (PTO) – Begins accruing on the first day of work. Full-time employees accrue 15 days per year, and employees working less than full-time accrue PTO on a prorated basis.
Holidays – A minimum of 10 paid holidays per year.
Family Building Benefits – Includes adoption and fertility assistance.
Paid Parental Leave – Up to 12 weeks of paid leave for employees who meet eligibility criteria.
Life Insurance & AD&D – 100% of premiums covered by Milliman.
Short-Term and Long-Term Disability – Fully paid by Milliman.

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

pharmacy claims data analysiscomplex modelingclinical managementformulary managementPBM performance indicatorspharmacy claims statisticsdata-driven analysisproject managementdata request managementbusiness development

Soft Skills

client interactioncommunicationguidancedelegationprioritizationinsight generationreport writingadaptabilityproblem-solvingrelationship building

Certifications

PharmD