Senior Pharmacist: Formulary & UM Strategist (Hybrid)

Highmark Health; Helena (MT); Hybrid; USD 118,000 - 197,000; Full time

Job summary

Highmark Inc. in Helena, MT is seeking a PharmPy professional to lead formulary and utilization management strategies, developing programs such as prior authorization and step therapy while ensuring regulatory compliance and cross-functional collaboration.

The role emphasizes education initiatives for physicians, clients, and members, with responsibility for mentoring junior staff and monitoring policy effectiveness within a hybrid work model.

Qualifications

• Experience in pharmacy strategy and formularies is preferred.
• Strong understanding of managed care pharmacy principles.

Responsibilities

• Lead formulary and utilization management strategy development.
• Develop and implement formulary programs and UM initiatives (prior authorization, dose edits, quantity limits, step therapy).
• Collaborate with cross-functional teams and external vendors to drive clinical and operational initiatives.
• Provide mentorship to junior staff and ensure compliance with regulatory standards.
• Develop educational initiatives for physicians, clients, and members promoting formulary strategies.

Skills

Managed care pharmacy principles

Verbal communication

Written communication

Microsoft Office

Data processing

Root cause analysis

Education

Bachelor of Science in Pharmacy

Doctor of Pharmacy

Tools

None

Job description

Highmark Inc. in Helena, MT is seeking a PharmPy professional to lead formulary and utilization management strategies, developing programs such as prior authorization and step therapy while ensuring regulatory compliance and cross-functional collaboration.

The role emphasizes education initiatives for physicians, clients, and members, with responsibility for mentoring junior staff and monitoring policy effectiveness within a hybrid work model.