Senior Pharmacy Strategy & Formulary Leader

Highmark Health

Lansing (MI)

Híbrido

USD 118.000 - 197.000

Jornada completa

Hace 4 días
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Descripción de la vacante

Highmark Health is seeking a Pharmacy Program Manager to advance formulary and utilization management strategies in a hybrid work model within 50 miles of our corporate office. You will lead evidence-based reviews, collaborate with analytics teams and external vendors, ensure regulatory compliance, and mentor junior staff while shaping patient-centered pharmacy programs and policies.

The role emphasizes cross-functional teamwork, policy development, and program execution to achieve enterprise

Formación

  • Bachelor of Science in Pharmacy or Doctor of Pharmacy required.
  • Registered Pharmacist (Non-State Specific) required.

Responsabilidades

  • Lead formulary and UM program initiatives aligned with savings goals.
  • Develop drug formularies by monitoring FDA approvals and pipelines.
  • Write drug monographs for Pharmacy & Therapeutics Committee review.
  • Implement utilization management programs (prior authorization, dose/duration edits, quantity limits, step therapy).
  • Ensure regulatory compliance of formulary and UM policies.
  • Collaborate with analytics and external vendors for real-world evidence.
  • Provide peer review of medication reviews and strategy deliverables.
  • Develop educational initiatives for physicians, clients, and members.
  • Manage department process improvements and project execution with leadership.

Conocimientos

Managed care principles
Communication skills
MS Office
Problem solving
Teamwork

Educación

Pharmacy degree (BS or PharmD)

Descripción del empleo

Highmark Health is seeking a Pharmacy Program Manager to advance formulary and utilization management strategies in a hybrid work model within 50 miles of our corporate office. You will lead evidence-based reviews, collaborate with analytics teams and external vendors, ensure regulatory compliance, and mentor junior staff while shaping patient-centered pharmacy programs and policies.

The role emphasizes cross-functional teamwork, policy development, and program execution to achieve enterprise

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