JOB SUMMARY
This role operates in a hybrid model (T,W,TH) for employees residing within 50 miles of the corporate office.
Dynamic and results-oriented Pharmacy Benefit Consultant, serving as the client-facing expert, driving growth and retention of Highmark’s self-funded clients while ensuring seamless delivery of exceptional pharmacy benefit solutions.
ESSENTIAL RESPONSIBILITIES
Client Advisement: Build and cultivate strong relationships with key stakeholders, including clients, brokers, consultants, and internal Highmark colleagues.
Expert Consultation: Provide in-depth pharmacy benefit expertise, offering strategic guidance, clinical recommendations, and solutions tailored to individual client needs.
Business Development & Retention: Play a vital role in acquiring new clients and ensuring the successful implementation of their pharmacy programs.
Represent Highmark: Serve as the subject matter expert for all pharmacy programs, products, and benefit recommendations, advocating for Highmark's solutions and services.
Sales & Marketing Support: Collaborate with the internal teams to develop and execute impactful presentations, sales collateral, and client proposals.
Data Analysis & Strategy: Leverage data-driven insights to identify trends, optimize pharmacy benefits, and create cost-effective strategies.
Program Design & Implementation: Actively participate in the design and implementation of innovative pharmacy programs, ensuring seamless transitions for new and existing clients.
Training & Education: Conduct impactful training sessions for both internal and external stakeholders, promoting knowledge sharing and best practices.
Other duties as assigned or requested.
EXPERIENCE
Required
3 years of experience in Healthcare Industry
3 years of experience in Pharmacy
3 years of experience with communications
Preferred
5 years of experience with communications
3 years of experience in Utilization Review
3 years of experience in Account Support
1 year of experience in Managed Care Support
1 year of experience in Consulting
SKILLS
In-depth knowledge of the pharmacy industry, including benefit design, formulary management, and pharmacy best practices.
Proven ability to interpret and analyze data, translating insights into actionable strategies.
Excellent communication and presentation skills with a proven track record of effectively engaging with clients and stakeholders.
Strong relationship building, with a focus on building trust and rapport.
Experience in supporting RFP/RFI processes and delivering compelling presentations.
A collaborative and team-oriented approach, with a strong commitment to delivering exceptional client service.
EDUCATION
Required
Bachelor’s degree in Clinical field such as Pharmacy, Nursing, Nutrition or a Business related field or relevant experience and/or education as determined by the company in lieu of bachelor's degree.
Substitutions
6 years experience in pharmacy or managed health care setting in lieu of Bachelor degree
Preferred
Master's degree
LICENSES or CERTIFICATIONS
Required
None
Preferred
PA clinical licensure/certifications such as RN, RD, Pharmacist
Language (Other than English):
None
Travel Requirement:
0% - 25%
PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
Position Type
Office- or Remote-based
Teaches / trains others
Occasionally
Travel from the office to various work sites or from site-to-site
Rarely
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
No
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Occasionally
Lifting: 25 to 50 pounds
Rarely
Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.
As a component of job responsibilities, 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 both 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.
Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.
Pay Range Minimum:
$86,400.00Pay Range Maximum:
$138,600.00Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.
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.
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For accommodation requests, please contact HR Services Online at [email protected]
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Skills Required
- 3 years of experience in Healthcare Industry
- 3 years of experience in Pharmacy
- 3 years of experience with communications
- 5 years of experience with communications
- 3 years of experience in Utilization Review
- 3 years of experience in Account Support
- 1 year of experience in Managed Care Support
- 1 year of experience in Consulting
Highmark Health Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Highmark Health and has not been reviewed or approved by Highmark Health.
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Healthcare Strength — Medical, prescription, dental, and vision coverage are emphasized alongside 100% coverage for preventive exams, with onsite pharmacy access and fitness center availability at major campuses.
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Retirement Support — An employer‑sponsored 401(k) with a company match is highlighted, with AHN materials illustrating a 100% match on the first 4% plus an additional 1% employer contribution as an example within the enterprise.
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Wellbeing & Lifestyle Benefits — Wellness programs include stress‑management classes, health coaching, incentives for healthy activities, team‑member discounts, and volunteer incentives, with paid volunteer time also noted in the overall package.
Highmark Health Insights
What We Do
Highmark Health, a Pittsburgh, PA based enterprise that employs more than 40,000 people who serve millions of Americans across the country, is the second largest integrated health care delivery and financing network in the nation based on revenue. Highmark Health is the parent company of Highmark Inc., Allegheny Health Network, and HM Health Solutions. Highmark Inc. and its subsidiaries and affiliates provide health insurance to nearly 5 million members in Pennsylvania, West Virginia and Delaware as well as dental insurance, vision care and related health products through a national network of diversified businesses that include United Concordia Companies, HM Insurance Group, and Visionworks. Allegheny Health Network is the parent company of an integrated delivery network that includes eight hospitals, more than 2,800 affiliated physicians, ambulatory surgery centers, an employed physician organization, home and community-based health services, a research institute, a group purchasing organization, and health and wellness pavilions in western Pennsylvania. HM Health Solutions focuses on meeting the information technology platform and other business needs of the Highmark Health enterprise as well as unaffiliated health insurance plans by providing proven business processes, expert knowledge and integrated cloud-based platforms. A national blended health organization, Highmark Health and our leading businesses support millions of customers with products, services and solutions closely aligned to our mission of creating remarkable health experiences, freeing people to be their best. Headquartered in Pittsburgh, we're regionally focused in Pennsylvania, Delaware, West Virginia and New York, with customers in all 50 states and the District of Columbia. We passionately serve individual consumers and fellow businesses alike. Our companies cover a diversified spectrum of essential health-related needs, including health insurance, health care delivery, population health management, dental solutions, reinsurance solutions, and innovative technology solutions. We’re also proud to carry forth an important legacy of compassionate care and philanthropy that began more than 170 years ago. This tradition of giving back, reinvesting and ensuring that our communities remain strong and healthy is deeply embedded in our culture, informing our decisions every day.
