Strategic Pharmacist – Formulary & Utilization Lead

Highmark Health; Pennsylvania; Hybrid; USD 140,000 - 180,000; Full time

Job summary

Highmark Inc. seeks a pharmacist to operate in a hybrid role near the corporate office, guiding formulary development and utilization management programs, monitoring FDA approvals and drug pipelines, and crafting policy-driven initiatives for better outcomes.

The role emphasizes collaboration with matrix partners, education for physicians and members, and ensuring strict adherence to regulatory standards, with mentorship to junior staff and engagement across committees.

Qualifications

• 5 years of related, progressive experience in the pharmacy area or completion of an accredited PGY-1 Managed Care Pharmacy Residency Program plus 2 additional years of related, progressive experience
• Preferred experience in pharmacy strategy, formulary administration, or product development within a health system, health plan, or PBM

Responsibilities

• Lead formulary and utilization management program initiatives to support savings goals
• Ensure regulatory compliance with state and federal requirements for the prescription drug benefit
• Collaborate with analytics teams and external vendors to generate real‑world evidence for strategy
• Provide guidance and mentorship to junior team members

Skills

Managed care pharmacy principles

Verbal & written communication

Data processing

Problem identification & solving

Team collaboration

Education

Bachelor of Science in Pharmacy or Doctor of Pharmacy

Tools

Microsoft Office

Database applications

Job description

Highmark Inc. seeks a pharmacist to operate in a hybrid role near the corporate office, guiding formulary development and utilization management programs, monitoring FDA approvals and drug pipelines, and crafting policy-driven initiatives for better outcomes.

The role emphasizes collaboration with matrix partners, education for physicians and members, and ensuring strict adherence to regulatory standards, with mentorship to junior staff and engagement across committees.