Senior Pharmacist - Managed Care Formulary Strategy

Highmark Health

Columbus (OH)

Ibrido

USD 118.000 - 197.000

Tempo pieno

14 giorni+

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Descrizione del lavoro

Highmark Inc. is seeking a Senior Pharmacist to operate in a hybrid model near the corporate office, focusing on formulary development, utilization management, and pharmacy policy management.

The role involves coordinating with cross-functional teams to implement evidence-based strategies and ensure compliance with federal and state requirements. You will lead drug monograph development, support the Pharmacy & Therapeutics Committee, and mentor junior staff while collaborating with

Competenze

  • 5 years of related, progressive experience in the pharmacy area of specialization or completion of an accredited PGY-1 Managed Care Pharmacy Residency Program plus 2 additional years of related experience
  • BS in Pharmacy or PharmD required
  • Registered Pharmacist (Non-State Specific) license required

Mansioni

  • Lead formulary and UM program initiatives to support enterprise value creation and cost savings
  • Ensure regulatory compliance for prescription drug benefit, formularies, and UM policies
  • Collaborate with analytics and external vendors to generate real-world evidence for pharmacy strategy
  • Review and develop education initiatives for physicians, clients, and members to promote formulary utilization
  • Manage projects and drive process improvements within the department
  • Mentor and guide junior staff and participate in cross-functional committees

Conoscenze

Managed care principles
Communication skills
MS Office & databases
Problem identification
Root-cause analysis

Formazione

Pharmacy degree

Descrizione del lavoro

Highmark Inc. is seeking a Senior Pharmacist to operate in a hybrid model near the corporate office, focusing on formulary development, utilization management, and pharmacy policy management.

The role involves coordinating with cross-functional teams to implement evidence-based strategies and ensure compliance with federal and state requirements. You will lead drug monograph development, support the Pharmacy & Therapeutics Committee, and mentor junior staff while collaborating with

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