Pharmacy Strategy Lead — Formulary & UM Innovator

Highmark Health; Olympia (WA); Hybrid; USD 118,000 - 197,000; Full time

Job summary

Highmark Inc. in the United States is seeking a Pharmacy Strategy professional to join a team that monitors FDA approvals, formulary development, and utilization management programs.

The role supports prior authorization, dose/duration edits, and policy reviews to improve member outcomes. You will collaborate with analytics, vendors, and cross-functional partners, lead education initiatives for physicians and members, and mentor junior staff while ensuring compliance with state and federal

Qualifications

• Understanding of managed care pharmacy principles and practices.
• Strong verbal and written communication skills.
• Proficiency with Microsoft Office and database applications.
• Ability to identify and prioritize essential elements of problems.
• Ability to work independently or in a team to identify root issues and propose solutions.

Responsibilities

• Lead formulary and utilization management strategy development.
• Support regulatory compliance for prescription drug benefits and formulary.
• Collaborate with analytics and vendors to generate real-world evidence.
• Review and improve pharmacy policies and programs.
• Educate physicians, clients, and members on formulary strategies.
• Mentor junior team members and manage projects.

Skills

Managed care pharmacy

Verbal and written communication

Microsoft Office & databases

Analytical problem-solving

Education

Doctor of Pharmacy (PharmD)

Bachelor of Science in Pharmacy

Job description

Highmark Inc. in the United States is seeking a Pharmacy Strategy professional to join a team that monitors FDA approvals, formulary development, and utilization management programs.

The role supports prior authorization, dose/duration edits, and policy reviews to improve member outcomes. You will collaborate with analytics, vendors, and cross-functional partners, lead education initiatives for physicians and members, and mentor junior staff while ensuring compliance with state and federal