Pharmacy Strategy Lead: Formulary & UM (Hybrid/Remote)

Highmark Health; Penn (Westmoreland County); Hybrid; USD 118.000 - 197.000; Vollzeit

Zusammenfassung

Highmark Inc. seeks a pharmacist to lead formulary and utilization management initiatives in a hybrid setting. You will work on policy development, prior authorizations, and education initiatives across physicians, members, and clients.

The role requires a Doctor of Pharmacy or PharmD with current Pharmacist licensure and at least five years in a related pharmacy area, with preferred certifications in pharmacotherapy or geriatric pharmacy.

Qualifikationen

• Understand managed care pharmacy principles and practices.
• Strong verbal and written communication skills; proficient with data processing.
• Proficiency in Microsoft Office and database applications.

Aufgaben

• Develop and monitor formulary and utilization management strategies.
• Ensure compliance with state and federal regulations for the drug benefit.
• Collaborate with internal and external partners on clinical and operational initiatives.
• Provide guidance and mentorship to junior team members.
• Participate in audits and compliance reviews.
• Prepare educational initiatives for physicians, pharmacies, clients and members.

Kenntnisse

Communication skills

MS Office

Data analysis

Problem solving

Ausbildung

Bachelor of Science in Pharmacy or Doctor of Pharmacy

Tools

Microsoft Office

Database applications

Jobbeschreibung

Highmark Inc. seeks a pharmacist to lead formulary and utilization management initiatives in a hybrid setting. You will work on policy development, prior authorizations, and education initiatives across physicians, members, and clients.

The role requires a Doctor of Pharmacy or PharmD with current Pharmacist licensure and at least five years in a related pharmacy area, with preferred certifications in pharmacotherapy or geriatric pharmacy.