Manager Medical Drug Strategy Operations

Highmark Inc.

This job will provide direction and oversight to staff members for the end-to-end operations management of Highmark’s traditional and innovative drug value strategy for all segments. The incumbent leads a team of non-clinical personnel, coordinating the execution of contracts, oversight of rebate invoicing activities, and ensuring accurate and timely allocation of rebate money to clients. This position will work with internal and external partners to ensure processes and systems are functional, accurate, and timely.

• Perform management responsibilities to include, but not limited to: involved in hiring and termination decisions, coaching and development, rewards and recognition, performance management and staff productivity. Plan, organize, staff, and manage the day-to-day operations of the team; develop and implement policies and programs as necessary; manage assigned budgets.
• Direct and lead staff members in operationalizing Highmark's drug value strategies. Maintain relationships with internal and external operational and technical support teams.
• Manages end-to-end invoicing of traditional and value-based drug rebate agreements, including ensuring technical function, data accuracy, and process efficiency.
• Oversees end-to-end technical aspects of traditional and value-based medical drug rebate agreements, including drafting, redlining, and final execution.
• Communicate effectively with all levels of the organization. Direct and encourage staff members to communicate effectively with all levels of the organization. To include:
  Identifying and articulating problems to senior management, steering committees and/or project sponsors;
  Developing business solutions to satisfy complex project goals and objectives;
  Conducting problem solving resolution and decision‑making sessions for complex issues and projects;
  Establishing and maintaining customer touch points.
• Ensures timely and accurate receipt and allocation of rebate funds to Highmark and clients.
• Other duties as assigned or requested.

• 7 years of experience of progressive experience in health plan strategy, health plan administration, program or product development within a health system, health plan, or pharmacy benefit manager setting OR completion of an accredited PGY-1 Managed Care Pharmacy Residency Program plus 4 additional years of related, progressive experience in health plan strategy, health plan administration, program or product development within a health system, health plan, or pharmacy benefit manager setting.
• 5 years of experience in a leadership or management role.

• 1 year of experience in a health plan or pharmacy benefit manager pharmacy department supporting strategic care cost savings initiatives.
• Completion of an accredited PGY-1 Managed Care Pharmacy Residency Program.

• Analytical and logical reasoning/thinking.
• Problem solving and decision making.
• Oral and written communication skills.
• Management.
• Team building.

• Bachelor's degree in Business, Healthcare or related field or relevant experience and/or education as determined by the company in lieu of bachelor's degree.

• Master's degree in Business, Healthcare, or related field.
• Doctor of Pharmacy degree.

• None.

• Registered Pharmacist (Non‑State Specific).

0% - 25%

Office-Based or Remote Position

Minimum: $

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.