Pharmacy Analyst

Company

Highmark Inc.

Work with Pharmacy Markets business owners, stakeholders and other management, as required, to achieve Pharmacy Markets growth objectives. Organize and coordinate Pharmacy Markets activities to focus on the successful delivery of desired results. Monitor and evaluate the progress, status and alignment of activities. Perform corrective action as needed to maintain the viability, relevance and timeliness of the work. Communicate regularly and effectively with customers regarding issues or concerns.

• Organize and coordinate Pharmacy Markets activities to achieve growth objectives.
• Monitor progress, status and alignment of activities and perform corrective action as needed.
• Communicate regularly and effectively with customers regarding issues or concerns.
• Perform research on projects and manage and lead projects to meet business objectives.
• Identify needs to develop new and innovative Pharmacy products and evaluate feasibility of administration and implementation of products.
• Partner with business units to ensure compliance with governmental, contractual, and corporate guidelines and monitor regulatory changes and industry trends.
• Provide consultation and analytic support to assigned functional areas.
• Collaborate with business owners and stakeholders to understand business needs and translate them into high quality requirements, functional designs, and system supplemental specifications.
• Implement product/program designs and ensure quality standards, financial performance, and regulations are met.
• Develop and establish standardized processes and effective measurement, evaluation and improvement methods.
• Analyze data processes, business processes, and interfaces to support multiple areas including program oversight and audits.
• Work with multidisciplinary teams within Pharmacy Markets, other Highmark departments, and external vendors to ensure program effectiveness and general project management.
• Accountability for escalated or complex issue resolution.
• Develop business and pharmacy benefit solutions to satisfy mutually agreed upon goals and objectives.
• Research and develop competitive pharmacy benefit offerings and ensure proper positioning in the marketplace.
• Other duties as assigned or requested.

• High school diploma / GED

• None

• Bachelor's Degree

• Healthcare experience
• Project Management experience

• 2 years Health Plan, Pharmacy Benefit Manager (PBM) or Pharmaceutical manufacturer environment
• Experience in a Health Plan or PBM pharmacy department supporting strategic care cost savings initiatives
• Project Management

• None

• Six-Sigma

• Advanced experience with MS Office.
• Experience in performing group/meeting presentations to technical/non-technical and customer audiences.
• Strong critical thinking skills.
• Ability to identify and assess patterns, trends, root causes, develop explanations and test solutions.
• Ability to identify and assess problems and solutions, refer to applicable policies, identify options, and recommend appropriate courses of action.
• Excellent verbal and written communication skills.

0% - 25%

• Lifting up to 10 pounds
• Lifting 10 to 25 pounds
• Lifting 25 to 50 pounds

Minimum: $57,700.00
Maximum: $

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.