Pharmacy Benefits SME

Posted 12 Days Ago
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Millersville, MD, USA
In-Office
90-110 Hourly
Senior level
Healthtech • Professional Services • Consulting
The Role
Provides expert guidance on pharmacy benefit management within the Department of Defense and TRICARE environment. Advises on benefit design, acquisition strategy, pricing, contracts, clinical pharmacy practices, compliance, and modernization. Bridges commercial pharmacy benefits practices with government and military healthcare requirements to reduce risk and improve outcomes for servicemembers and beneficiaries.
Summary Generated by Built In
Pharmacy Benefits SME
Part-time, Remote

About J29
At J29, we believe in empowering our employees to do great things for the benefit of others. Our culture is built on purpose, service, and impact — not just for our clients, but for our communities. We are a mission-driven, people-first organization that believes strong culture, thoughtful leadership, and meaningful philanthropy are inseparable from business success.
 
General Description
J29 is seeking a Part‑Time Pharmacy Subject Matter Expert (SME) to support strategic initiatives involving pharmacy benefit management within the Department of Defense and TRICARE environment. This role provides expert insight to guide benefit design, acquisition strategy, and modernization efforts—ensuring solutions are compliant, operationally sound, and aligned with military healthcare requirements.
The Pharmacy SME serves as a trusted advisor, bridging commercial best practices with government standards, and brings deep technical credibility to pharmacy benefit decisions that reduce risk and enhance outcomes for servicemembers and beneficiaries.
 Key responsibilities
  • Serve as the subject matter expert for pharmacy benefit management, applying deep industry knowledge to inform strategy, optimize benefit design, and ensure compliance with DoD and TRICARE standards.
  • Acts as the bridge between commercial innovation and military health requirements, ensuring recommendations are practical, compliant, and mission-focused.
  • Provides technical credibility for benefit design decisions and acquisition strategies, reducing risk and accelerating modernization.

 Qualifications
  • Minimum of five(5) years of related work experience working with the pharmacy benefit space
  • Experience in pharmacy benefits management operations and contracts, benefit design, pricing models, and clinical pharmacy practices
  • Must also have a minimum of five(5) years of experience in Government administration of pharmacy benefits.
  • DoD or VA is preferred, however is not mandatory
  • Must possess an active pharmacy license
Hourly Rate: $90-110 hourly

Skills Required

  • At least five years of related experience in the pharmacy benefits field
  • Experience with pharmacy benefits management operations and contracts
  • Experience with benefit design and pricing models
  • Experience with clinical pharmacy practices
  • At least five years of experience in government administration of pharmacy benefits
  • Active pharmacy license
  • DoD or VA experience
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The Company
300 Employees
Year Founded: 2017

What We Do

J29, Inc. is a healthcare management consulting company headquartered in Millersville, Maryland. It provides clinical, healthcare-policy, compliance, and data expertise across medical claims analysis, records and dispute review, audits, coding and billing policy support, and case processing. The company serves public-sector and commercial clients through prime and subcontract work for agencies including the Department of Health and Human Services and Department of Defense.

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