Pharmacy Strategy Leader: Formulary & UM

Highmark Health Company; Pennsylvania; Hybrid; USD 118,000 - 197,000; Full time

Job summary

Highmark Inc. is seeking a seasoned professional to lead formulary and utilization management initiatives within a hybrid model for employees near the corporate office.

You will monitor FDA approvals, assess drug utilization, and develop and execute the organization's drug formulary and utilization management policies, collaborating across teams and with external partners. The role emphasizes policy development, education initiatives, and oversight of regulatory compliance, with opportunities to

Qualifications

• Understanding of managed care pharmacy principles.
• Strong verbal and written communication skills.
• Proficiency in Microsoft Office and database applications.

Responsibilities

• Lead formulary and UM program initiatives.
• Develop and monitor drug utilization strategies and programs.
• Ensure regulatory compliance and audits for pharmacy programs.
• Collaborate with cross-functional partners to implement clinical and operational initiatives.

Skills

Verbal communication

Written communication

Microsoft Office

Data analysis

Education

PharmD

BS Pharmacy

Tools

Database applications

Job description

Highmark Inc. is seeking a seasoned professional to lead formulary and utilization management initiatives within a hybrid model for employees near the corporate office.

You will monitor FDA approvals, assess drug utilization, and develop and execute the organization's drug formulary and utilization management policies, collaborating across teams and with external partners. The role emphasizes policy development, education initiatives, and oversight of regulatory compliance, with opportunities to