Highmark Health

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Highmark Health odamlarning tibbiy yordamni qanday qabul qilishi va undan qanday foydalanishini yaxshilashga e’tibor qaratadigan sog‘liqni saqlash tashkilotidir. Uning faoliyati tibbiy xizmatlarni ko‘rsatishni qo‘llab-quvvatlaydigan klinik xizmatlar, texnologiya, moliya, marketing va boshqa funksiyalarni qamrab oladi. Blue Cross Blue Shield Association’ning mustaqil litsenziya egasi sifatida kompaniya sog‘liqni saqlash tizimini rivojlantirishga yordam berish uchun turli sohalardagi keng doiradagi mutaxassislarni birlashtiradi. Highmark Health xilma-xillik, tenglik va inklyuziyaga ham katta ahamiyat beradi hamda nogironligi bo‘lgan shaxslarni qo‘llab-quvvatlash va harbiy xizmatchilar uchun qulay ish beruvchi sifatida e’tirof etilgan.

Kompaniyadagi ish o‘rinlari

Senior Pharmacist, Strategy - Hybrid

Senior Pharmacist leading formulary development and pharmacy utilization-management strategy for Highmark Health’s insurance programs. The role evaluates drug evidence, supports regulatory compliance, and advances pharmacy initiatives.

4 kun oldin

Amerika Qo‘shma Shtatlari

Men

118 400 $ – 196 800 $ / yil

Gibrid To‘liq stavka Senior Talab Qilinadigan Til: inglizcha Farmatsevt

Tavsif

Track FDA approvals, manufacturer pipelines, and drug utilization reports
Create and implement formularies and pharmacy utilization-management policies
Prepare drug monographs for Pharmacy & Therapeutics Committee review
Design and implement prior authorization, dose and duration edits, quantity limits, step therapy, generic sampling, and pharmacy policy programs
Ensure compliance with federal, state, and other applicable mandates
Create educational initiatives for physicians, pharmacies, clients, and members
Serve on cross-functional committees and collaborate with analytics teams, pharmacy vendors, matrix partners, and other stakeholders
Engage with pharmaceutical manufacturers, pharmacy benefit managers, and strategic partners
Assess, implement, and monitor legislation affecting pharmacy benefits
Plan, execute, and track pharmacy-focused strategic initiatives
Present recommendations to organizational leadership
Peer-review medication reviews, utilization-management policies, and strategy deliverables
Identify opportunities for departmental process improvement and support their implementation
Lead assigned projects and provide guidance to junior team members

Talablar

At least five years of related, progressive pharmacy experience, or an accredited PGY-1 Managed Care Pharmacy Residency plus two additional years of related, progressive experience
Bachelor of Science in Pharmacy or Doctor of Pharmacy degree
Registered Pharmacist credential, non-state specific
Knowledge of managed-care pharmacy principles and practices
Strong written and verbal communication abilities
Proficiency in computer-based data processing
Working knowledge of Microsoft Office and database applications
Ability to isolate and prioritize the essential elements of complex problems
Ability to determine root causes and develop potential solutions independently or collaboratively
Compliance with HIPAA, data-security guidelines, the Code of Business Conduct, applicable laws and regulations, company policies, and required training

Imtiyozlar

Hybrid work model for employees living within 50 miles of the corporate office
Remote work option
Less than 25% travel required

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Senior Pharmacist, Strategy - Hybrid

Senior Pharmacist leading formulary development and pharmacy utilization-management strategy for Highmark Health’s insurance programs. The role evaluates drug evidence, supports regulatory compliance, and advances pharmacy initiatives.

Tavsif

Talablar

Imtiyozlar

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