Senior Pharmacist - Formulary & UM Strategy Lead

Highmark Health; Augusta (ME); Hybrid; USD 118,000 - 197,000; Full time

Job summary

Highmark Inc. in Augusta, ME, is seeking a pharmacy professional to lead formulary and utilization management activities in a hybrid role within 50 miles of the corporate office.

You will collaborate with analytics, providers, and vendors to optimize drug utilization, write monographs, and drive clinical and operational initiatives while ensuring compliance with HIPAA and regulations. Experience in managed care and policy development is preferred, with mentorship opportunities for staff.

Qualifications

• 5+ years in pharmacy; OR PGY-1 plus 2 years in pharmacy.
• Experience with formulary development and utilization management preferred.
• Strong communication and analytical skills.
• Proficiency with Microsoft Office and data processing.
• Knowledge of managed care pharmacy principles.

Responsibilities

• Lead formulary and UM program development to support cost savings.
• Monitor FDA approvals and drug pipelines; write drug monographs.
• Ensure regulatory compliance; participate in audits as needed.
• Collaborate with cross-functional partners on clinical initiatives.
• Mentor junior staff and communicate with stakeholders.

Skills

Managed care pharmacy

Communication skills

Microsoft Office

Problem solving

Education

Pharmacist license

BS in Pharmacy or PharmD

Board Certified Pharmacotherapy Specialist

Board Certified Geriatric Pharmacist

Job description

Highmark Inc. in Augusta, ME, is seeking a pharmacy professional to lead formulary and utilization management activities in a hybrid role within 50 miles of the corporate office.

You will collaborate with analytics, providers, and vendors to optimize drug utilization, write monographs, and drive clinical and operational initiatives while ensuring compliance with HIPAA and regulations. Experience in managed care and policy development is preferred, with mentorship opportunities for staff.