Pharmacy Analyst - Remote​/Hybrid

Job Summary

This role operates in a hybrid model (T, W, TH) for employees residing within 50 miles of the corporate office.

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

Depending on the Pharmacy Markets business unit, may be responsible for one or more of the following:

• Perform research on projects and manage and lead projects to meet business objectives. May manage all sizes of projects (small, medium, large, enterprise). Analyze data to determine business problems, trends, or opportunities for process improvements.
• Identify needs to develop new and innovative Pharmacy products, perform appropriate research/analyses, and evaluate feasibility of administration and implementation of products.
• Partner with business units to ensure compliance with governmental, contractual, and corporate guidelines, regulations, and policies. Continuously monitor regulatory changes, legislative efforts, industry trends, and/or contract changes.
• Provide consultation and analytic support to assigned functional areas.
• Collaborate with business owners/stakeholders to understand business needs, processes, project specifications, and business case development. Translate business needs into clearly defined, high quality requirements, functional designs, and system supplemental specifications for new Pharmacy Markets applications or analyze change requests/enhancements in existing applications.

• 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. Implement interventions that result in continuous measurable improvements. Work collaboratively with business owners to identify improvement areas and develop and monitor action plans to focus on priority issues. General knowledge of key performance indicators (KPIs) and metrics.
• Analyze data, processes, business processes, and interfaces to support multiple areas which will include program (and/or vendor) oversight, using appropriate measurement processes and potential audits. Gather and analyze information, designs, and test solutions to problems and formulate plans. Make decisions that refine and improve known practices or develop new approaches.
• Work with multidisciplinary teams within Pharmacy Markets, other Highmark departments, and external vendors to ensure program effectiveness and general project management. Make independent contributions to projects as well as contribute and manage some small to medium projects, when applicable.
• Accountability for escalated or complex issue resolution.
• Develop business and pharmacy benefit solutions to satisfy mutually agreed upon goals and objectives; conduct problem solving, resolution, and decision making sessions for complex issues and projects; promote a culture of performance excellence and continuous quality improvement.
• Communicate effectively with all levels of the organization. Establish routine informational exchanges based on proposed product designs, prospective goal setting, strategic planning, and implementation activities. Identify and articulate problems to management, steering committees and/or project sponsors.
• Research and develop competitive pharmacy benefit offerings and ensure proper positioning in the marketplace. Focus on achieving optimal member experience and continued viability of the pharmacy product portfolio.
• Other duties as assigned or requested.

• High school diploma / GED

• None

• Bachelor's Degree

• Healthcare experience
• Project Management experience

• Project Management

• None

• Six‑Sigma

• Advanced…