Clinical Pharmacist, Pharmacy Management; PBM

Position: Clinical Pharmacist, Pharmacy Benefit Management (PBM)
# Clinical Pharmacist, Pharmacy Benefit Management (PBM)
Pharmacy Benefit Management (PBM)
Chicago, Illinois May 15,  - $145,000 / year

Full Time Application ends:
** June 26, 2026
** Apply Now###

Job Description
*
* Location:

** Chicago, IL (Onsite)
We are seeking a
** Clinical Pharmacist, Pharmacy Benefit Management (PBM)
** to support formulary strategy, clinical program development, and pharmacy benefit decision-making. This role is responsible for evaluating drug therapies, developing utilization management criteria, supporting prior authorization and appeals processes, and contributing to evidence-based pharmacy policy.

This position is ideal for a Pharm

D-level pharmacist with managed care or PBM experience who can interpret clinical evidence, analyze utilization trends, and translate findings into practical recommendations that support safe, effective, and cost-conscious medication use.
** Responsibilities:
*** Conduct clinical drug reviews and therapeutic assessments to support formulary recommendations
* Develop prior authorization criteria for specialty and high-cost medications based on clinical evidence and FDA labeling
* Perform drug utilization reviews to identify adherence trends, inappropriate use, and opportunities for intervention
* Evaluate new medications for formulary placement, step therapy requirements, and quantity limits
* Support development of clinical pharmacy programs focused on adherence, therapeutic substitution, and specialty drug management
* Review prior authorization appeals and coverage exception requests for clinical appropriateness
* Collaborate with medical directors and clinical leadership on pharmacy benefit policy and guideline development
* Support CMS Part D activities, including formulary requirements, exceptions, appeals, and medication therapy management
* Prepare clinical monographs, therapeutic class reviews, and alternative therapy analyses for committee review
* Monitor drug pipeline updates, clinical guidelines, and emerging evidence to inform pharmacy benefit strategy
* Partner with cross-functional teams to support compliant and clinically sound utilization management processes
* Maintain accurate documentation of clinical reviews, recommendations, and policy decisions
*
* Qualifications:

*** Doctor of Pharmacy (Pharm

D) degree from an accredited college of pharmacy required
* Active pharmacist license required; multi-state licensure preferred
* Minimum of 3 years of experience in PBM, managed care pharmacy, or health plan pharmacy operations required
* Strong knowledge of formulary management, drug utilization review, and prior authorization policy development
* Familiarity with CMS Part D requirements, medication therapy management, and specialty pharmacy management
* Experience evaluating clinical evidence and presenting recommendations for formulary or P&T committee review
* Strong analytical, communication, and documentation skills
* Ability to collaborate with medical directors, clinical teams, and pharmacy benefit stakeholders
*
* Schedule:

*** Full-time position
* Standard business hours
* Standard full-time hours per pay period
** Salary Range:
** The salary range for this position is approximately $115,000 – $145,000 annually ($55.29 – $69.71 per hour), based on experience and qualifications.
** Interview Process:
*** Selected candidates will participate in a multi-step interview process, including an initial screening with Talent

LNX followed by interviews with department leadership.

--
- ** Equal Opportunity

Employer:

** Talent

LNX is committed to equal employment opportunity and a diverse, inclusive workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.
#J-18808-Ljbffr