Senior Pharmacist: Formulary & UM Strategy

Highmark Health; Cheyenne (WY); Hybrid; USD 118,000 - 197,000; Full time

Job summary

Highmark Health in Cheyenne, WY is seeking a pharmacist to lead formulary and utilization management in a hybrid model (T/W/TH within 50 miles of the corporate office).

You will monitor FDA approvals, assess drug utilization, and develop physician, client, and member education initiatives, collaborating with matrix partners and pharmacy vendors to advance clinical and operational goals.

Qualifications

• 5 years of related, progressive experience in the pharmacy area
• Or completion of an accredited PGY-1 Managed Care Pharmacy Residency Program plus 2 additional years of related experience
• Knowledge of managed care pharmacy principles and practices is essential

Responsibilities

• Lead formulary and UM program development supporting cost savings goals.
• Develop and implement utilization management programs (prior authorization, dose edits, quantity limits, step therapy).
• Write drug monographs for Pharmacy & Therapeutics Committee review.
• Coordinate regulatory compliance for prescription drug benefits and formularies.
• Collaborate with internal analytics and external vendors to generate real-world evidence.
• Educate physicians, clients, and members on formulary strategies and utilization management.
• Mentor junior team members and participate in cross-functional committees.
• Participate in industry audits and compliance activities.

Skills

Managed care pharmacy

Verbal & written communication

Policy & compliance

Team collaboration

Problem solving

Education

Doctor of Pharmacy

Bachelor of Science in Pharmacy

Job description

Highmark Health in Cheyenne, WY is seeking a pharmacist to lead formulary and utilization management in a hybrid model (T/W/TH within 50 miles of the corporate office).

You will monitor FDA approvals, assess drug utilization, and develop physician, client, and member education initiatives, collaborating with matrix partners and pharmacy vendors to advance clinical and operational goals.