JOB SUMMARY
This job serves as the primary point of contact within the Highmark Pharmacy Services organization responsible for the negotiation of pharmacy and applicable vendor contracts and resolution of related contract matters. The incumbent collaborates directly with internal and external legal counsel and vendor legal counsel teams (e.g., Pharmacy Benefit Manager, Specialty Pharmacy) to manage the end-to-end contract lifecycle, including contract renewals, negotiations, terminations and amendments as needed by the business. In the course of managing the portfolio of pharmacy and applicable vendor contracts, the incumbent interfaces with other organization stakeholders in order to maximize value and mitigate risk to the organization. In addition, the incumbent partners directly with the Pharmacy Services leadership team on contracting initiates related to specific team business needs in support of the overall organization’s strategic pharmacy contracting portfolio. Other related job functions include the identification and interpretation of relevant contract language, responding to contract disclosure requests to support external audit activities, contract maintenance and storage, support of pharmacy and related RFPs and leading/facilitating contract discussions with other members of the Pharmacy Services team and others teams outside of Pharmacy Services. In addition, the incumbent may provide guidance or expertise to other analysts and stakeholders within the Pharmacy Services organization during collaborative contract-related initiatives.
ESSENTIAL RESPONSIBILITIES
- Manage pharmacy contracts including contract development, negotiation, renewal, termination, execution and hard copy/electronic storage with minimal supervision/direction.
- Collaborate directly with internal, external, and vendor legal counsel teams (e.g., Pharmacy Benefit Manager, Specialty Pharmacy) during the contract negotiation process, up to and including the point of contract execution.
- Interface with the Organization’s stakeholders in the management of the pharmacy and vendor contract portfolio in order to maximize value and mitigate risk to the organization.
- Partner directly with the Pharmacy Services leadership team on contracting initiatives related to specific team business needs in support of the overall organization’s strategic pharmacy contracting portfolio.
- Provide guidance or expertise to other analysts and stakeholders within the Pharmacy Services organization during collaborative initiatives.
- Addresses, investigates and resolves pharmacy contract matters / issues, post contract execution.
- Other duties as assigned.
EDUCATION
Required
- Bachelor's Degree in Business Administration/Management or five years of relevant experience and/or education as determined by the company in lieu of bachelor's degree
Preferred
- Doctorate in Law
EXPERIENCE
Required
- 5 - 7 years of Contract Development Experience
- 5 - 7 years of Contract Management Experience
Preferred
- 7 - 10 years of Healthcare Industry Experience
- 7 - 10 years of Managed Care
- 7 -10 years of Pharmacy Benefit Management Experience
LICENSES OR CERTIFICATIONS
Required
- None
Preferred
- None
SKILLS
- Written & Oral Presentation Skills
- Communication Skills
Language (other than English)
None
Travel Requirement
0% - 25%
PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
Position Type
Office-Based
Teaches / trains others regularly
Occasionally
Travel regularly from the office to various work sites or from site-to-site
Does Not Apply
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
Yes
Lifting: up to 10 pounds
Frequently
Lifting: 10 to 25 pounds
Occasionally
Lifting: 25 to 50 pounds
Does Not Apply
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 position 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:
$79,300.00Pay Range Maximum:
$127,100.00Base 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.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at [email protected]
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Skills Required
- Bachelor's Degree in Business Administration/Management or five years of relevant experience and/or education in lieu of a bachelor's degree
- 5 - 7 years of Contract Development experience
- 5 - 7 years of Contract Management experience
- Written and oral presentation skills
- Strong communication skills
- Doctorate in Law
- 7 - 10 years of Healthcare Industry experience
- 7 - 10 years of Managed Care experience
- 7 - 10 years of Pharmacy Benefit Management experience
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.
-
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.
-
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.
-
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.
.png)
