Highmark Health
Highmark Health
Highmark Health is a healthcare organization focused on improving how people experience and access care. Its work spans clinical services, technology, finance, marketing, and other functions that support the delivery of healthcare. As an independent licensee of the Blue Cross Blue Shield Association, the company brings together a broad range of professionals to help evolve the healthcare system. Highmark Health also highlights diversity, equity, and inclusion, with recognition for disability inclusion and military-friendly employment.

Pharmacy Analyst – Highmark Health (Hybrid, United States)

Support Highmark Health’s pharmacy products, benefits, and operational processes through analytics, compliance, project leadership, and continuous improvement. Partner with business stakeholders and vendors to develop solutions, strengthen performance, and improve the member experience.

Description

  • Partner with Pharmacy Markets business owners, stakeholders, and leaders to support growth priorities
  • Coordinate Pharmacy Markets initiatives while tracking progress, status, and strategic alignment
  • Take corrective action to keep work relevant, viable, and on schedule
  • Address customer questions, issues, and concerns
  • Research, manage, and lead projects that support business objectives
  • Analyze data to uncover business issues, trends, and opportunities for process improvement
  • Develop and assess new pharmacy products, including implementation feasibility
  • Maintain compliance with government, contractual, and corporate requirements while monitoring regulatory and industry developments
  • Provide consultative and analytical support to assigned functional teams
  • Convert business needs into documented requirements, functional designs, and system specifications
  • Implement product and program designs in accordance with quality, financial, and regulatory standards
  • Create standardized processes, measurement approaches, and continuous-improvement initiatives
  • Evaluate data, business processes, and interfaces, including vendor or program oversight and audit readiness
  • Collect and interpret information, design and test solutions, and develop actionable plans
  • Work with cross-functional teams and external vendors to evaluate programs and manage projects
  • Investigate and resolve escalated or complex issues
  • Create business and pharmacy benefit solutions and lead structured problem-solving and decision-making sessions
  • Report issues, progress, and key updates to management, steering committees, and project sponsors
  • Research and develop competitive pharmacy benefit offerings while improving product positioning and member experience
  • Complete additional responsibilities as assigned

Requirements

  • High school diploma or GED
  • Experience in healthcare
  • Project management experience
  • Advanced proficiency with Microsoft Office
  • Experience presenting in group or meeting settings to technical, non-technical, and customer audiences
  • Strong critical-thinking abilities
  • Ability to recognize patterns, trends, and root causes, then develop explanations and test solutions
  • Ability to evaluate problems and options, apply relevant policies, and recommend appropriate actions
  • Excellent written and verbal communication skills
  • Must follow HIPAA, data-security standards, company policies, and applicable laws, rules, and regulations
  • Ability to work at the required physical site
  • Ability to lift up to 10 pounds frequently, 10 to 25 pounds occasionally, and 25 to 50 pounds rarely

Benefits

  • Hybrid work arrangement for employees living within 50 miles of the corporate office
  • Expected travel of 0% to 25%
  • Accessibility and application-process assistance provided by the employer

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