JOB SUMMARY
This senior pharmacist role seeks a specialty pharmacist with strong program management expertise and experience leading strategic specialty pharmacy initiatives across an interdisciplinary team within a healthcare organization. The successful candidate will lead both clinically focused and non-clinical programs and serve as a clinical consultative resource for specialty programs led by other team members.
This position requires a balance of clinical and business acumen to successfully implement, support, and oversee assigned specialty pharmacy programs. As a subject matter expert in specialty pharmacy program offerings, the incumbent will be responsible for program implementation, market introduction, overall performance, and continuous improvement. This individual will collaborate with internal partners, external stakeholders (including vendors) and leadership to enhance the organization's evolving specialty pharmacy program strategy ensuring value delivery for the Organization’s customers.
ESSENTIAL RESPONSIBILITIES
- Act as the subject matter expert (SME) regarding programs and related workflows. Work effectively within the matrix environment to assemble and facilitate project and ad hoc teams to reach determined objectives. Manage assigned process, people, and technology against operational metrics and other key indicators.
- Act as change agent securing alignment of partners with the overall Specialty Pharmacy strategy and business goals to meet or exceed assigned program deliverables while ensuring effectiveness, efficiency, and maintaining integrity.
- Monitors, evaluates and presents pharmacy data related to programs and makes recommendations for data analysis and reporting to monitor effectiveness and value of programs.
- Assess existing Specialty Pharmacy programs for improvement opportunities and provide new program design ideas. Collaborate across the organization to groom opportunities and progress through appropriate channels when next steps are appropriate.
- Provide input to presentations and training materials to properly reflect programs and related timelines. Present key findings and recommendations and act as a pharmacy expert/adviser for the programs. Develop and maintain relationships with internal Highmark staff and external partners for promotion of Specialty Pharmacy programs and strategy.
- Work collaboratively with Pharmacy Sales, Pharmacy Operations, and other relevant teams regarding program build translation into market demand and operational impacts of partnerships.
- Other duties as assigned or requested.
EXPERIENCE
Required
- 3 years in Health Care Industry
- 1 year of Program Leadership or Project Management
Preferred
- Completion of an accredited PGY-1 Managed Care Pharmacy Residency Program
- Progressive experience in clinical pharmacy strategy and specialty pharmacy programs development within a health system, health plan, PBM setting and/or specialty pharmacy setting
SKILLS
- Project Management
- Consulting
- Continuous Improvement
- Presentation Creation and Delivery
- Communication Skills
- Analytical Skills
EDUCATION
Required
- Bachelor's degree in Pharmacy
Preferred
- None
LICENSES or CERTIFICATIONS
Required
- None
Preferred
- Registered Pharmacist
- Board Certification in Specialty Pharmacy (CSP)
- Board Certification in Pharmacotherapy (BCPS)
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:
$102,700.00Pay Range Maximum:
$164,600.00Base 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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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.
