Responsibilities

Strategy and decisions

• Run the pharmacy strategy work end to end: plan, cadence, team tasks and a decision log.

• Build the frameworks that turn research into choices: a pharmacy cost driver tree (price, use and mix by channel), an evidence grid for each intervention and an options scorecard (value, time to impact, feasibility, risk).

• Size each option with the data analyst and finance partner: eligible members × engagement × effect − cost, linked to the TCOC goal and to performance guarantee exposure.

Market and competitive intelligence

• Map what carriers and their PBMs (Optum Rx, CVS Caremark, Express Scripts, CarelonRx), transparent PBMs, navigation companies and health systems offer, how well it works and how it is priced.

• Identify and map solutions including disruptors, early stage solutions, and established mechanisms to drive TCOC.

• Track the pipeline and policy that will shape 2028 and beyond: biosimilar launches, high cost specialty drugs, cell and gene therapies, PBM reform and drug pricing policy.

• Run multiple expert calls a week through an expert network, and gather what clients and benefits consultants are asking for.

• Establish a competitor heat map and market brief for leadership.

Learning and team leadership

• Help the executive leadership team learn the pharmacy world quickly, working with the pharmacy economics lead to develop fact base and address questions and concerns.

• Coordinate the internal team of clinical pharmacist, data analyst, finance partner and client lead without managing them directly.

• Use AI research tools to speed up landscape scans, evidence tables and draft materials, and check what they produce for accuracy.

What success looks like

Qualifications

Required

• 8+ years in healthcare strategy, with at least 3 in pharmacy benefits, PBM, payer or benefits consulting.

• Strategy consulting or internal strategy experience leading work from research to executive decisions under tight deadlines.

• Working knowledge of PBM economics: rebates, spread versus pass-through pricing, specialty pharmacy, and medical versus pharmacy benefit drugs.

• Track record in market and competitive intelligence: primary research, expert interviews, competitor profiles and synthesis.

• Comfort with claims data and financial models; able to build or direct a sizing model with finance.

• Clear, concise writing and presentations for C-suite audiences.

Preferred

• Experience at a carrier, PBM, transparent PBM, navigation company or benefits consultancy (Mercer, Aon, WTW).

• Network of pharmacy and benefits experts to draw on quickly.

• Knowledge of the specialty drug pipeline, biosimilars, GLP-1 policy and gene therapy financing.

• Experience with self-funded employer clients and performance guarantees.

• MBA, MPH, PharmD or similar advanced degree.

Who you work with and role details