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Senior Pharmacist – Strategy
Highmark Health. Monitor FDA approvals, drug manufacturer pipelines, and drug utilization reports .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managed care pharmacy principles, drug formulary development, and compliance with federal and state regulations. Proficient in project management, data analysis, and effective communication with stakeholders.
Highest-signal resume keywords
Managed Care Pharmacy PrinciplesDrug Formulary DevelopmentPharmacy Utilization ManagementRegistered PharmacistProject Management
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Drug Monograph WritingPrior Authorization ImplementationData Processing ProficiencyPharmacy Policy DevelopmentMedication ReviewCompliance MonitoringPharmacy Benefit Legislation EvaluationStrategic Initiative ExecutionUtilization Management PoliciesProcess Improvement
Soft Skills
Strong Verbal CommunicationStrong Written CommunicationProblem IdentificationTeam CollaborationGuidance to Junior Team Members
Tools & Technologies
Microsoft OfficeDatabase Applications
Certifications & Qualifications
Registered Pharmacist
Industry Keywords
FDA ApprovalsDrug Manufacturer PipelinesPharmacy Benefit ManagersHIPAA ComplianceCode of Business Conduct
About the role
Key responsibilities & impact- Monitor FDA approvals, drug manufacturer pipelines, and drug utilization reports
- Develop and execute drug formularies and pharmacy utilization management policies
- Write drug monographs for Pharmacy & Therapeutics Committee review
- Develop and implement prior authorization, dose and duration edits, quantity limits, step therapy, generic sampling, and pharmacy policy programs
- Maintain compliance with federal, state, and other mandates
- Develop physician, pharmacy, client, and member educational initiatives
- Participate in cross-functional committees and collaborate with internal analytics teams, pharmacy vendors, matrix partners, and stakeholders
- Interact with pharmaceutical manufacturers, pharmacy benefit managers, and strategic partners
- Evaluate, implement, and monitor pharmacy benefit-focused legislation
- Develop, execute, and monitor pharmacy-specific strategic initiatives
- Present recommendations to leadership
- Conduct peer review of medication reviews, utilization management policies, and strategy deliverables
- Identify and assist with department process improvements
- Manage individual projects and provide guidance to junior team members
Requirements
What you’ll need- 5 years of related, progressive experience in the pharmacy area of specialization OR completion of an accredited PGY-1 Managed Care Pharmacy Residency Program plus 2 additional years of related, progressive experience
- Bachelor of Science in Pharmacy or Doctor of Pharmacy degree
- Registered Pharmacist (Non-State Specific)
- Understanding of managed care pharmacy principles and practices
- Strong verbal and written communication skills
- Proficiency in computer-based data processing
- Proficiency with Microsoft Office products and database applications
- Ability to identify and prioritize essential elements of problems
- Ability to identify root issues and formulate potential solutions independently or in a team
- Compliance with HIPAA, data security guidelines, Code of Business Conduct, applicable laws, regulations, company policies, and training requirements
Benefits
Comp & perks- Hybrid work model for employees residing within 50 miles of the corporate office
- Remote work option
- Travel required less than 25%