Senior Pharmacist - Programs

JobRx, Inc.; Penn (Westmoreland County); Hybrid; USD 118,400 - 196,800; Full time

Job summary

Highmark Inc. is seeking a senior pharmacist to lead and oversee assigned programs in a hybrid model (T, W, TH) for employees within 50 miles of the corporate office. The role balances clinical and business acumen to implement, support and optimize pharmacy programs.

As a SME, you will drive program performance, monitor outcomes, ensure regulatory compliance, develop internal documentation, and educate stakeholders across functions to improve value delivered to customers.

Qualifications

• 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 experience.
• Understanding of managed care pharmacy principles and practices.
• Strong verbal and written communication skills; proficiency with computer-based data processing.

Responsibilities

• Act as SME for assigned programs and related workflows; guide implementations and enhancements.
• Monitor outcomes and present pharmacy data to assess effectiveness and value.
• Ensure state and federal compliance; develop and maintain internal program documentation.
• Develop marketing materials and provide education to internal stakeholders.
• Identify opportunities for program efficiencies and collaboration across departments.

Skills

Managed care

Communication

Data processing

MS Office

Problem solving

Education

BS Pharmacy

PharmD

Job description

Company: Highmark Inc.

Job Summary

This role operates in a hybrid model (T,W,TH) for employees residing within 50 miles of the corporate office. This senior pharmacist role requires the incumbent to balance clinical and business acumen to implement and provide ongoing support and oversight of assigned pharmacy programs. This pharmacist will work in a team-oriented environment as a subject matter expert of assigned pharmacy program offerings with both clinical and non‑clinical focus. The incumbent is responsible for implementation, market introduction, overall performance, and continuous improvement of their assigned programs. The incumbent will work with internal partners and leadership to develop a firm grasp of the organization’s clinical program strategy as it evolves over time to enhance the value that is delivered to the organization’s customers.

Essential Responsibilities

• Subject Matter Expertise & Program Leadership: Act as the subject matter expert (SME) for assigned programs and related workflows, including those with high complexity. Function independently as business SME during assigned program implementations, expansions, and enhancements. Meet or exceed assigned program goals and objectives. Provide formal or informal leadership to support pharmacy strategy initiatives.
• Program Monitoring & Evaluation: Monitor outcomes of operational and technical enhancements to assigned programs. Monitor, evaluate and present pharmacy data related to assigned programs; make recommendations for data analysis and reporting to monitor effectiveness and value.
• Compliance & Documentation: Ensure ongoing state and federal compliance of assigned programs, in concert with legal, product, and risk matrix partners. Development and maintenance of internal program documentation, coordinating between matrix teams where appropriate.
• Stakeholder Education & Communication: Development and maintenance of accurate marketing materials for assigned programs. Provide written and verbal education on assigned programs to internal stakeholders.
• Program Optimization & Efficiency: Identify and support opportunities for program efficiencies and/or enhancements.
• Interdepartmental Collaboration: Ensure compatibility with medical product solutions where applicable. Work effectively within a matrixed environment to assemble and facilitate project and ad‑hoc teams to reach determined objectives.
• Other duties as assigned or requested.

Experience

Required

• 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, progressive experience in the pharmacy area of specialization.

Preferred

• Progressive experience in pharmacy strategy, formulary administration, pharmacy program or product development within a health system, health plan, or pharmacy benefit manager setting.

Skills

• An understanding of managed care pharmacy principles and practices is essential.
• Demonstration of strong verbal and written communication skills, as well as proficiency in the use of computer‑based data processing.
• Microsoft Office products, and database applications.
• Be able to quickly identify and prioritize essential elements of problem.
• Independently or in a team, be able to identify the root issues and formulate potential solutions.
• An understanding of managed care principles and practices is essential.

Education

Required

• Bachelor of Science in Pharmacy or a Doctor of Pharmacy degree.

Preferred

• None.

Licenses or Certifications

Required

• Registered Pharmacist (Non‑State Specific).

Preferred

• None.

Language (Other than English)

• None.

Travel Required

• Less than 25%.

Physical, Mental Demands and Working Conditions

Position Type

• Office‑Based or Remote Position.

Physical work site required

• Frequently.

Compliance

Employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

Pay Range

Pay Range Minimum: $118,400.00

Pay Range Maximum: $196,800.00

Equal Employment Opportunity Statement

Highmark Health and its affiliates are an equal opportunity employer and does not discriminate based on race, color, religion, sex, national origin, disability, veteran status, or any other protected characteristic in accordance with applicable federal, state, and local laws.