Pharmacy Benefit Consultant - Remote​/Hybrid

Company

Highmark Inc.

This role operates in a hybrid model (T,W,TH) for employees residing within 50 miles of the corporate office. Dynamic and results-oriented Pharmacy Benefit Consultant, serving as the client-facing expert, driving growth and retention of Highmark’s self‑funded clients while ensuring seamless delivery of exceptional pharmacy benefit solutions.

• Client Advisement:
  Build and cultivate strong relationships with key stakeholders, including clients, brokers, consultants, and internal Highmark colleagues.
• Expert Consultation:
  Provide in‑depth pharmacy benefit expertise, offering strategic guidance, clinical recommendations, and solutions tailored to individual client needs.
• Business Development & Retention:
  Play a vital role in acquiring new clients and ensuring the successful implementation of their pharmacy programs.
• Represent Highmark:
  Serve as the subject matter expert for all pharmacy programs, products, and benefit recommendations, advocating for Highmark's solutions and services.
• Sales & Marketing Support:
  Collaborate with the internal teams to develop and execute impactful presentations, sales collateral, and client proposals.
• Data Analysis & Strategy:
  Leverage data‑driven insights to identify trends, optimize pharmacy benefits, and create cost‑effective strategies.
• Program Design & Implementation:
  Actively participate in the design and implementation of innovative pharmacy programs, ensuring seamless transitions for new and existing clients.
• Training &
  
  Education:
  
  Conduct impactful training sessions for both internal and external stakeholders, promoting knowledge sharing and best practices.
• Other duties as assigned or requested.

• 3 years of experience in Healthcare Industry
• 3 years of experience in Pharmacy
• 3 years of experience with communications

• 5 years of experience with communications
• 3 years of experience in Utilization Review
• 3 years of experience in Account Support
• 1 year of experience in Managed Care Support
• 1 year of experience in Consulting

• In-depth knowledge of the pharmacy industry, including benefit design, formulary management, and pharmacy best practices.
• Proven ability to interpret and analyze data, translating insights into actionable strategies.
• Excellent communication and presentation skills with a proven track record of effectively engaging with clients and stakeholders.
• Strong relationship building, with a focus on building trust and rapport.
• Experience in supporting RFP/RFI processes and delivering compelling presentations.
• A collaborative and team‑oriented approach, with a strong commitment to delivering exceptional client service.

• Bachelor’s degree in Clinical field such as Pharmacy, Nursing, Nutrition or a Business related field or relevant experience and/or education as determined by the company in lieu of bachelor's degree.

• Master’s degree

• 6 years experience in pharmacy or managed health care setting in lieu of Bachelor degree

• None

• PA clinical licensure/certifications such as RN, RD, Pharmacist

None

0% - 25%

Position Type:
Office- or Remote-based Teaches / trains others Occasionally Travel from the office to various work sites or from site-to-site Rarely Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required No Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds Rarely

The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

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