Overview

This senior strategic role will lead pharmacy trend forecasting, pipeline intelligence, and cost-of-care optimization across a complex healthcare environment. You will identify emerging market dynamics, specialty drug trends, biosimilars, generic launches, utilization shifts, and other drivers of pharmacy spend. Your insights will directly shape proactive strategies across formulary management, utilization management, channel strategy, and clinical decision-making.

You will combine clinical expertise with financial and pharmacoeconomic analysis to quantify opportunities and guide high-impact investments. The role serves as a key connector between clinical, financial, commercial, and executive stakeholders, translating complex pipeline and market intelligence into clear recommendations for leadership, clients, and Pharmacy & Therapeutics decision-makers.

Accountabilities

• •Own pharmacy trend forecasting and market surveillance, identifying emerging cost drivers, utilization patterns, and shifts that could materially affect pharmacy spend.
• •Monitor the drug development pipeline and evaluate new and emerging therapies across clinical, financial, operational, regulatory, and formulary dimensions.
• •Assess therapeutic category changes, market developments, access strategies, and industry trends to identify opportunities for proactive intervention.
• •Develop and maintain a multi-year pharmacy trend mitigation roadmap aligned with strategic and organizational priorities.
• •Recommend formulary, utilization management, biosimilar, generic, and channel management strategies designed to address emerging cost pressures.
• •Evaluate high-impact and new-to-market therapies before launch and translate clinical and market intelligence into actionable recommendations.
• •Lead the development of biosimilar strategies, including formulary positioning, utilization management, conversion approaches, adoption monitoring, and provider education.
• •Identify formulary and benefit design opportunities that balance clinical outcomes, affordability, and pharmacy spend.
• •Contribute to clinical intelligence governance by evaluating trend drivers and prioritizing intervention opportunities.
• •Partner with clinical modeling and financial stakeholders to develop financial impact assessments, pharmacoeconomic analyses, savings projections, and ROI estimates.
• •Quantify projected trend drivers, cost-of-care impacts, savings opportunities, and the expected value of proposed strategies.
• •Serve as the clinical lead for pipeline, trend, biosimilar, and pharmacoeconomic evaluations presented to Pharmacy & Therapeutics leadership.
• •Develop strategic recommendations and clinical content for enterprise and client-facing trend reports.
• •Collaborate with specialty, trade relations, population health, and other stakeholders to identify and implement channel management opportunities.
• •Communicate complex clinical, financial, and market insights clearly to executives, clients, and cross-functional business partners.
• •Monitor FDA pipeline developments and translate clinical, regulatory, and market events into formulary, utilization management, and operational readiness strategies.

Requirements

• •Doctor of Pharmacy (PharmD) degree from an accredited institution.
• •Active, unrestricted pharmacist license in the United States.
• •10+ years of experience in managed care, PBM, or health plan pharmacy, with direct experience in pharmacy trend analysis, forecasting, pipeline evaluation, or cost-of-care management.
• •Demonstrated experience identifying pharmacy trend drivers and developing strategies addressing specialty drug spend, biosimilars, generic launches, pipeline therapies, and utilization management opportunities.
• •Strong quantitative and analytical capabilities, including the ability to interpret pharmacy utilization, trend, and financial data and turn findings into actionable strategies.
• •Experience developing business cases, financial impact assessments, pharmacoeconomic analyses, trend forecasts, market impact models, or cost-of-care projections.
• •Strong knowledge of formulary management, utilization management, pharmacoeconomics, specialty pharmacy, and broader pharmacy market dynamics.
• •Familiarity with net-cost formulary architecture and rebate-aware formulary strategy.
• •Experience using PBM trend reporting tools and presenting complex trend information to clients, executives, and other senior stakeholders.
• •Ability to evaluate clinical, regulatory, and market developments and translate them into practical commercial, clinical, and operational strategies.
• •Strong communication and presentation skills, with the ability to make complex clinical and financial concepts accessible to varied audiences.
• •Strategic mindset with strong judgment, analytical rigor, and the ability to identify emerging risks and opportunities before they materially affect outcomes.
• •Strong cross-functional collaboration skills and the ability to influence decisions across clinical, financial, commercial, and executive teams.
• •Comfortable working remotely while maintaining a professional, focused, and collaborative work environment.

Benefits

• •Competitive compensation package.
• •Health, dental, and vision insurance benefits.
• •Additional employee benefits and programs.
• •Remote work environment.
• •Collaborative culture focused on employee growth, team performance, and shared success.
• •Opportunity to influence meaningful change in the pharmacy benefits management industry.