Strategic Pharmacist: Formulary & Utilization Leader

Highmark Health; Atlanta (GA); Hybrid; USD 118,000 - 197,000; Full time

Job summary

Highmark Health is seeking a Pharmacy Policy and Utilization Management leader in a hybrid role serving areas within 50 miles of the corporate office. The position focuses on developing and executing formulary strategies, utilization management programs, and policy reviews to ensure compliance with federal and state mandates.

Collaboration with cross-functional teams and external partners is essential. The role involves writing drug monographs, leading education initiatives, and guiding junior

Qualifications

• 5 years of related, progressive experience in the pharmacy area or completion of a PGY-1 plus 2 years in pharmacy.
• Active pharmacist license (State unspecified).
• Experience with formulary, utilization management, or policy development preferred.

Responsibilities

• Lead formulary and utilization management strategy and development.
• Ensure regulatory compliance for prescription drug benefit and formulary.
• Collaborate with analytics and external vendors to generate evidence for strategy.
• Provide education initiatives for physicians, clients, and members.
• Mentor junior team members and manage department projects.

Skills

Managed care pharmacy

Communication skills

MS Office & databases

Problem prioritization

Root-cause analysis

Education

Doctor of Pharmacy or BS in Pharmacy

Job description

Highmark Health is seeking a Pharmacy Policy and Utilization Management leader in a hybrid role serving areas within 50 miles of the corporate office. The position focuses on developing and executing formulary strategies, utilization management programs, and policy reviews to ensure compliance with federal and state mandates.

Collaboration with cross-functional teams and external partners is essential. The role involves writing drug monographs, leading education initiatives, and guiding junior