Pharmacy Business Consultant

highmarkhealth; Pennsylvania; Hybrid; USD 109,000 - 181,000; Full time

Job summary

Highmark Health is seeking a strategic leader to guide Pharmacy Services initiatives, driving cross‑functional projects, analyses and implementation with minimal supervision. You will mentor team members, report updates to Pharmacy leadership, and help shape the overall value proposition of Pharmacy Services.

This role supports hybrid or remote work; onsite 3 days/week if within 50 miles, with 0–25% travel and a strong HIPAA/compliance focus.

Qualifications

• Bachelor's Degree in Business Administration/Management, Finance, Economics, Healthcare or related field or equivalent experience
• 5–7 years in Managed Care or Health Insurance Industry, 1–3 years Pharmacy Operation
• Strong communication and collaboration skills

Responsibilities

• Conduct opportunity analyses and develop the strategic plan for pharmacy.
• Interface with stakeholders to advance strategic initiatives.
• Conduct outcomes analyses to measure performance against goals.
• Provide project updates to Pharmacy leadership and mentor junior staff.

Skills

Oral & Written Communication Skills

Self Starter

Collaborative Problem Solving

Education

Bachelor's Degree in Business Administration/Management/Finance/Economics/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

Travel Required

• 0% - 25%

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 qualif