Senior Pharmacist - Formulary & Utilization Strategy

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

Job summary

Highmark Inc. is seeking a pharmacare specialist to operate in a hybrid model near the corporate office. The role focuses on monitoring FDA approvals, drug pipelines, and utilization reports to develop and execute the formulary and related utilization management policies.

The incumbent will write drug monographs, support committee reviews, and implement education initiatives across physicians, clients, and members. Leadership and collaboration with matrix partners are essential.

Qualifications

• Degree in pharmacy required (BS or PharmD).
• Licensed pharmacist with MBA? not specified.

Responsibilities

• Lead formulary and UM program initiatives.
• Develop and monitor pharmacy policies (prior authorization, dose/duration edits).
• Write drug monographs for P&T Committee.
• Ensure regulatory compliance of formulary and UM policies.
• Collaborate with analytics teams and external vendors.
• Mentor junior staff and participate in cross-functional initiatives.

Skills

Pharmacy policy

Verbal & written communication

MS Office / databases

Problem solving

Team leadership

Education

Bachelor of Science in Pharmacy or Doctor of Pharmacy

Job description

Highmark Inc. is seeking a pharmacare specialist to operate in a hybrid model near the corporate office. The role focuses on monitoring FDA approvals, drug pipelines, and utilization reports to develop and execute the formulary and related utilization management policies.

The incumbent will write drug monographs, support committee reviews, and implement education initiatives across physicians, clients, and members. Leadership and collaboration with matrix partners are essential.