Pharmacy Business Consultant

Highmark Health; Pennsylvania; Hybrid; USD 109,000 - 181,000; Full time

Job summary

Highmark Health in Pittsburgh, PA seeks a Pharmacy Strategy Lead to guide and execute key strategic initiatives for Pharmacy Services. The role requires collaborative work across functional areas, directing opportunity analyses and reporting outcomes to leadership.

Mentorship of team members and cross-site coordination are expected. The position can be hybrid or remote; for those living within 50 miles of an office, onsite 3 days a week (Tue, Wed, Thu).

Qualifications

• Bachelor's degree in a relevant field or equivalent experience.
• Master's degree preferred.
• Experience in Managed Care, Health Insurance, or Pharmacy operations is valued.

Responsibilities

• Lead or participate in development and execution of strategic initiatives for Pharmacy Services.
• Interface with stakeholders across the organization to advance initiatives.
• Conduct analyses to measure outcomes relative to goals and report to leadership.
• Mentor less experienced team members and support implementation tasks.
• Travel as needed to sites or between locations.

Skills

Oral & Written Communication Skills

Self Starter

Collaborative

Problem Solving

Education

Bachelor's degree in Business Administration/Management, Finance, Economics or Healthcare

Master's Degree in Business Administration/Management, Finance, Economics or Healthcare

Job description

Company : Highmark Inc. Job Description : JOB SUMMARY This job leads and/or participates in the development and execution of key strategic initiatives for Pharmacy Services. The incumbent engages in multiple cross-functional projects and will be expected to work in a collaborative, highly matrixed manner. Directs the opportunity analysis and outcomes reporting for pharmacy's strategic initiatives. In the course of contributing to these projects, the incumbent may be expected to fulfill many different types of roles, ranging from project leadership, problem-solving, data analysis and interpretation, providing recommendations, communicating project updates to the pharmacy leadership team and completing implementation tasks within the specified timeframe. Builds relationships with personnel in other business units of the organization, and will be expected to work with little to no supervision. Will likely play a supportive role in shaping the overall strategy and value proposition for Pharmacy Services and is also expected to serve as a mentor to less experienced members of the Pharmacy business team. This role can be hybrid or remote - If you live within 50 miles of an office you are required to be onsite 3 days a week - T, W, Th.

ESSENTIAL RESPONSIBILITIES

• Conduct opportunity analyses and use these analyses to develop the strategic plan for pharmacy.
• Interface with stakeholders in other business areas to advance strategic initiatives for pharmacy services.
• Conduct outcomes analyses for strategic initiatives to determine how the initiative is performing relative to predetermined goals .
• Provide project updates to Pharmacy management.
• Serve as a mentor to less experienced members of the Pharmacy team.
• Other duties as assigned.

EDUCATION

• Required Bachelor's Degree in Business Administration/Management, Finance, Economics, Healthcare or related field, or relevant experience and/or education as determined by the company in lieu of bachelor's degree
• Preferred Master's Degree in Business Administration/Management, Finance, Economics or Healthcare.

EXPERIENCE

• Required 5 - 7 years Managed Care Or 5 - 7 years Health Insurance Industry 1 - 3 years Pharmacy Operation
• Preferred 7 - 10 years Managed Care Or 7 - 10 years Health Insurance Industry 3 - 5 years Pharmacy Operation

LICENSES OR CERTIFICATIONS

Required None

Preferred None

SKILLS

Oral & Written Communication Skills

Self Starter

Collaborative

Problem Solving

Language (other than English) None

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type Office-Based or Remote - If you live within 50 miles of an office you are required to be onsite 3 days a week - T, W, Th.

Teaches / trains others regularly

Occasionally Travel regularly from the office to various work sites or from site-to-site

Occasionally Works primarily out-of-the office selling products/services (sales employees)

Never Physical work site required Yes

Lifting: up to 10 pounds

Frequently Lifting: 10 to 25 pounds

Occasionally Lifting: 25 to 50 pounds

Does Not Apply

Disclaimer:

The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement:

This position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

This role can be hybrid or remote - If you live within 50 miles of an office you are required to be onsite 3 days a week - T, W, Th.

Pay Range Minimum: $108,600.00

Pay Range Maximum: $180,600.00

Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

California Consumer Privacy Act Employees, Contractors, and Applicants Notice Highmark Health is a national, blended health organization that includes one of America’s largest Blue Cross Blue Shield insurers and a growing regional hospital and physician network. Based in Pittsburgh, Pa., Highmark Health’s 35,000 employees serve millions of customers nationwide through the nonprofit organization’s affiliated businesses, which include Highmark Inc., Allegheny Health Network, HM Insurance Group, United Concordia Dental, HM Health Solutions and HM Home & Community Services. Highmark Health’s businesses proudly serve a broad spectrum of health-related needs including health insurance, health care delivery, population health management, dental solutions, reinsurance solutions, and innovative, technology solutions.