JOB SUMMARY
This job requires the incumbent to balance clinical and business acumen to implement and provide ongoing support and oversight of assigned pharmacy programs. This pharmacist will work in a team-oriented environment as a subject matter expert of assigned pharmacy program offerings with both clinical and non-clinical focus. The incumbent is responsible for implementation, market introduction, overall performance, and continuous improvement of their assigned programs. The incumbent will work with internal partners and leadership to develop a firm grasp of the Organization's clinical program strategy as it evolves over time to enhance the value that is delivered to the Organization's customers.
ESSENTIAL RESPONSIBILITIES
- Define the Organization's clinical product eminence strategy and plan, including the identification of key activities (e.g., conferences, publications, white papers, webinars, etc.) that will help to reinforce the Organization's leadership position in the marketplace for clinical products/services.
- Execute the eminence strategy and plan, including serving as the the Organization's liaison for activities (e.g., conferences), managing logistics (e.g., webinars), and developing content required to support activities (e.g., presentations); pull in resources from across the enterprise to support execution of plan as needed.
- Conduct market scans to stay abreast of health trends and research; educate leadership on key findings for sharing with account teams, as well as functional leadership (e.g., product, clinical area).
- Participate in the health policy review process, providing the clinical product strategy perspective.
- Inform competencies of distributed clinical product resources, identifying learning needs, and inform performance management process.
- Partner with analytics to develop insights supporting the development and sharing of eminence (e.g., white papers, health policy reviews, etc.).
- Partner with public relations to share pilot "success stories" externally, helping the Organization to be viewed as innovative in the clinical product space.
- Act as the subject matter expert (SME) for assigned programs and related workflows, including those with high complexity
- Function independently as business SME during assigned program implementations, expansions, and enhancements
- Ensure ongoing state and federal compliance of assigned programs, in concert with legal, product, and ER&G matrix partners
- Development and maintenance of accurate marketing materials for assigned programs
- Provide written and verbal education on assigned programs to internal stakeholders.
- Other duties as assigned or requested.
REQUIRED EDUCATION
- Bachelor's Degree in Business, Marketing or other related area, or relevant experience and/or education as determined by the company in lieu of bachelor's degree
PREFERRED EDUCATION
- Master’s Degree – Business Administration, Marketing
EXPERIENCE
Minimum:
• 7 - 10 years' experience with deep breadth and depth of business knowledge in the health and wellness and/or clinical services space
Preferred:
• Deep healthcare expertise
• Clinical programs policy background
KNOWLEDGE, SKILLS & ABILITIES
• Prior experience executing eminence activities
• Strong understanding of market trends/needs, business requirements and balance them successfully
• Research and analytics skills
• External market orientation
• Ability to work in a matrixed organization environment
REQUIRED LICENSURE
None
PREFERRED LICENSURE
None
TRAVEL REQUIREMENT:
25% - 50%
LANGUAGE REQUIREMENT (other than English)?
None
PHYSICAL, MENTAL DEMANDS AND WORKING CONDITIONS
(The physical, mental demands and working conditions described here are representative of those that must be met by an employee to successfully perform the essential function of their job. Reasonable accommodations will be made when necessary to enable individuals with disabilities to perform the essential duties of the position, to the extent that they do not cause undue hardship).
Position Type:
Office-Based
Office-Based Positions
An employee in this position works in an office environment. The position frequently requires the employee to communicate effectively with others both inside and outside the workplace (e.g., in person, via telephone, via email). The employee must be able to understand, interpret and analyze data, solve problems, concentrate, and research, use available technological resources and systems (e.g., computers and computer programs), multi-task, prioritize, and meet multiple deadlines to complete essential tasks. The employee generally works in a fast-paced and frequently stressful environment, must attend work on a regular and reliable basis as well as adhere to all workplace policies, and may be called upon to work outside regular business hours.
Most On-The-Road Positions
An employee in this position may work in a home or company office environment but is also frequently driving to and from various locations to perform the work off-site. The position frequently requires the employee to communicate effectively with others both inside and outside the workplace (e.g., in person, via telephone, via email). The employee must be able to understand, interpret and analyze data, solve problems, concentrate, and research, use available technological resources and systems (e.g., computers and computer programs), multi-task, prioritize, and meet multiple deadlines to complete essential tasks. The employee generally works in a fast-paced and frequently stressful environment, must attend work on a regular and reliable basis as well as adhere to all workplace policies, and may be called upon to work outside regular business hours.
Teaches/Trains others regularly
Occasionally
Travels regularly from the office to various work sites or from site-to-site
Occasionally
Works primarily out-of-the office selling products/services (Sales employees)
Does Not Apply
Physical Work Site Required
Yes
Non-Office-Based Positions
An employee in this position is frequently required to move throughout the workplace, sit, stand and walk, use hands and fingers to hold objects, tools or controls, possess fine motor skills (e.g., to write and operate a computer or to steer transportation equipment), possess gross motor skills (e.g., to carry items), reach with hands and arms, climb stairs and ladders, balance, stoop, kneel crouch and crawl, communicate effectively, and talk and hear. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. The employee must be able to work in a busy environment where decisions often must be made quickly, must attend work on a regular and reliable basis, must adhere to all workplace policies, and may be called upon to work outside regular business hours. This work occurs in a [example: warehouse, hospital or provider’s office or mailroom].
Lifting: up to 10 pounds
Does Not Apply
Lifting: 10 to 25 pounds
Does Not Apply
Lifting: 25 to 50 pounds
Does Not Apply
ADDITIONAL INFORMATION
Changes Approved By:
Melanie Lysne
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:
$78,900.00Pay Range Maximum:
$147,500.00Base 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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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.








