Pharmacy Consultant

We are seeking a Pharmacist Consultant to provide clinical guidance, regulatory insight, and data-driven expertise across pharmacy and healthcare initiatives. The role combines strong clinical pharmacy knowledge with advanced analytical skills to interpret complex data, generate executive-level summaries, and support compliance efforts.

Requirements

• Provide regulatory guidance related to CMS, Medicaid, Medicare, HIPAA, and other applicable healthcare frameworks.
• Collaborate with policy, legal, IT, analytics, and operations teams to translate regulatory and clinical requirements into actionable implementation steps.
• Assist in drafting policy analyses, legislative summaries, and fiscal impact considerations related to pharmacy services.
• Support the review and validation of pharmacy-related business rules, claims adjudication logic, and clinical criteria.
• Develop clear, concise data summaries, executive briefings, dashboards, and reports to support internal leadership and client decision-making.
• Interpret state and federal legislation during bill season and assess potential impacts to pharmacy programs, reimbursement structures, and compliance requirements.
• Participate in stakeholder meetings to provide clinical interpretation of data findings and regulatory considerations.
• Ensure documentation and processes align with compliance standards and audit readiness requirements.
• Provide subject matter expertise during project planning, implementation, and post-implementation review phases.
• Perform other duties, as assigned.

Benefits

• Comprehensive benefits package