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Principal Medicaid Pharmacy Strategist, PDL, Pricing & Contracting (Any city, IL

Gainwell Technologies · United States · US

Pharma Strategy
Remote
Pharmacist
Demand78
Career growth70
Healthcare fit82
Remote potential65
Salary band
USD 114k – 162k
5-year outlook
Likely competitive for experienced pharmacists with Medicaid, PBM, rebate, and formulary expertise, though compensation is not disclosed. Growth will depend on state Medicaid pharmacy program demand and the candidate’s depth in pricing, rebating, and client-facing strategy.
Clinical license
Required
Applicant reach
narrow
Seniority
senior
Employment type
full-time
Date found
2026-10-27

Intelligence details

Flexible work details

Engagement type
Permanent
Hours
Full-time
Eligible countries
United States
License jurisdiction
US
Profession fit
Pharmacist
Rate period
Annual

Listing via Himalayas.

Eligibility, licensing, and location restrictions can change. Always confirm details on the source posting before applying.

Why this is worth applying to

Worth applying for licensed pharmacists with Medicaid/PBM, formulary, pricing, rebate, or contracting experience who want a non-clinical payer/consulting career path. It is less suitable for early-career pharmacists or clinicians without managed care or pharmacy benefit experience.

Who should apply

Licensed pharmacists with Medicaid managed care, PBM operations, formulary/PDL management, prior authorization, drug pricing, supplemental rebate, or pharmaceutical contracting experience, especially those with strong Excel-based financial analysis and client presentation skills.

CV angle

Frame real pharmacist experience around Medicaid pharmacy operations, formulary/PDL decision support, prior authorization and utilization management criteria, drug pricing or rebate analysis, claims/utilization data interpretation, Excel modeling, and cross-functional or client-facing recommendations. Quantify scope only where factual, such as claims volume, program support, cost analysis, or stakeholder presentation experience.

Skills to highlight

  • Medicaid pharmacy program knowledge
  • Preferred Drug List and formulary management
  • Drug pricing and rebate analysis
  • Supplemental rebate and contracting strategy
  • Prior authorization and utilization management criteria
  • Advanced Excel and financial modeling
  • Pharmacy claims and utilization data analysis
  • Client presentation and cross-functional collaboration

Role summary

Supports state Medicaid pharmacy programs by analyzing drug products, clinical criteria, utilization, pricing, and rebate opportunities to develop PDL, formulary, prior authorization, and pharmacy benefit recommendations for clients.

We publish our own intelligence summary, never the full job description. Always confirm details with the employer when you apply.