Hybrid Pharmacy Strategy Lead

Highmark Health; Madison (WI); Hybrid; USD 118,000 - 197,000; Full time

Job summary

Highmark Health is seeking a Pharmacist-Strategist to lead formulary and utilization management initiatives within a hybrid model (100% remote option not guaranteed). The role collaborates with pharmacists, providers, and cross-functional teams to optimize drug utilization and policy development.

Responsibilities include developing and implementing UM programs, monitoring regulatory compliance, and guiding educational initiatives for providers and members to promote formulary adherence and

Qualifications

• Understanding of managed care pharmacy principles and practices.
• Strong verbal and written communication abilities.
• Proficiency with computer-based data processing and databases.
• Ability to identify and prioritize essential issues.
• Ability to analyze root causes and generate solutions.

Responsibilities

• Lead formulary and utilization management strategies and develop related programs.
• Ensure regulatory compliance for prescription drug benefit and formulary.
• Collaborate cross-functionally to support pharmacy strategy and analytics.
• Review and improve medication-use policies and patient outcomes.
• Provide education to physicians, clients, and members on pharmacy programs.
• Manage projects and drive process improvements with leadership.
• Mentor junior team members and support staff.

Skills

Managed care principles

Verbal & written communication

Computer skills

Critical thinking

Team collaboration

Education

BS in Pharmacy or PharmD

Tools

MS Office

Job description

Highmark Health is seeking a Pharmacist-Strategist to lead formulary and utilization management initiatives within a hybrid model (100% remote option not guaranteed). The role collaborates with pharmacists, providers, and cross-functional teams to optimize drug utilization and policy development.

Responsibilities include developing and implementing UM programs, monitoring regulatory compliance, and guiding educational initiatives for providers and members to promote formulary adherence and