Hybrid Pharmacist - Formulary & Strategy Leader

Highmark Health; Augusta (ME); Hybrid; USD 118,000 - 197,000; Full time

Job summary

Highmark Inc. in Maine is seeking a Pharmacist to join a hybrid team near the corporate office.

The role focuses on monitoring FDA approvals, evaluating drug utilization, and developing the formulary and utilization management programs to improve member outcomes. You will write drug monographs, support payer strategies, and collaborate with internal stakeholders to implement clinical and operational initiatives while ensuring compliance with federal and state requirements.

Qualifications

• Pharmacy degree and licensed pharmacist.
• Experience in managed care pharmacy settings preferred.
• Knowledge of regulatory requirements and compliance.

Responsibilities

• Lead formulary and UM program initiatives aligning with the organization’s goals.
• Support regulatory compliance related to prescription drug benefit and formulary policies.
• Collaborate with internal analytics and external vendors to drive program insights.
• Review and develop education programs for physicians, providers, and members.

Skills

Managed care

Communication skills

MS Office & databases

Problem solving

Mentorship

Education

Pharmacy degree

Doctor of Pharmacy (PharmD)

Job description

Highmark Inc. in Maine is seeking a Pharmacist to join a hybrid team near the corporate office.

The role focuses on monitoring FDA approvals, evaluating drug utilization, and developing the formulary and utilization management programs to improve member outcomes. You will write drug monographs, support payer strategies, and collaborate with internal stakeholders to implement clinical and operational initiatives while ensuring compliance with federal and state requirements.