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Pharmacy Business Consultant

Highmark Inc
  • PA
  • Autofill and Review
22 days ago
Highmark Inc

Job Description

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Strategic Planning/Corp Development

Pharmacy Business Consultant

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Pharmacy Business Consultant

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  • Work At Home - Pennsylvania, HOME PA 90001, United States
  • Remote

Company :

Highmark Inc.

Job Description :

JOB SUMMARY

This job leads and/or participates in the development and execution of key strategic initiatives for Pharmacy Services. The incumbent engages in multiple cross-functional projects and will be expected to work in a collaborative, highly matrixed manner. Directs the opportunity analysis and outcomes reporting for pharmacy"s strategic initiatives. In the course of contributing to these projects, the incumbent may be expected to fulfill many different types of roles, ranging from project leadership, problem-solving, data analysis and interpretation, providing recommendations, communicating project updates to the pharmacy leadership team and completing implementation tasks within the specified timeframe. Builds relationships with personnel in other business units of the organization, and will be expected to work with little to no supervision. Will likely play a supportive role in shaping the overall strategy and value proposition for Pharmacy Services and is also expected to serve as a mentor to less experienced members of the Pharmacy business team.

This role can be hybrid or remote - If you live within 50 miles of an office you are required to be onsite 3 days a week - T, W, Th.

ESSENTIAL RESPONSIBILITIES

  • Conduct opportunity analyses and use these analyses to develop the strategic plan for pharmacy.
  • Interface with stakeholders in other business areas to advance strategic initiatives for pharmacy services.
  • Conduct outcomes analyses for strategic initiatives to determine how the initiative is performing relative to predetermined goals .
  • Provide project updates to Pharmacy management.
  • Serve as a mentor to less experienced members of the Pharmacy team.
  • Other duties as assigned.

EDUCATION

Required

  • Bachelor"s Degree in Business Administration/Management, Finance, Economics, Healthcare or related field, or relevant experience and/or education as determined by the company in lieu of bachelor"s degree

Preferred

  • Master"s Degree in Business Administration/Management, Finance, Economics or Healthcare.

EXPERIENCE

Required

  • 5 - 7 years Managed Care

Or

  • 5 - 7 years Health Insurance Industry
  • 1 - 3 years Pharmacy Operation

Preferred

  • 7 - 10 years Managed Care

Or

  • 7 - 10 years Health Insurance Industry
  • 3 - 5 years Pharmacy Operation

LICENSES OR CERTIFICATIONS

Required

  • None

Preferred

  • None

SKILLS

  • Oral & Written Communication Skills
  • Self Starter
  • Collaborative Problem Solving

Language (other than English)

None

Travel Required

0% - 25%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type

Office-Based or Remote - If you live within 50 miles of an office you are required to be onsite 3 days a week - T, W, Th.

Teaches / trains others regularly

Occasionally

Travel regularly from the office to various work sites or from site-to-site

Occasionally

Works primarily out-of-the office selling products/services (sales employees)

Never

Physical work site required

Yes

Lifting: up to 10 pounds

Frequently

Lifting: 10 to 25 pounds

Occasionally

Lifting: 25 to 50 pounds

Does Not Apply

Disclaimer: 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.

Compliance Requirement: This position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

This role can be hybrid or remote - If you live within 50 miles of an office you are required to be onsite 3 days a week - T, W, Th.

Pay Range Minimum:

$108,600.00

Pay Range Maximum:

$180,600.00

Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.

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.

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

Recruitment Fraud Alert

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Job Details

  • Job category Strategic Planning/Corp Development

  • Position Type Full Time

  • Posted 10/01/2026

  • Location(s)

  • Work At Home - Pennsylvania, HOME PA 90001, United States

  • Remote

  • Line of Business

  • Entity

  • Recruiter

  • Hiring Manager

  • Experience Level

  • Job Family Strategic Gen-HM

  • Req ID J287741

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Highmark Health is an independent licensee of the Blue Cross Blue Shield Association.

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.

We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.

We provide reasonable accommodations to applicants with disabilities or who require accommodations for sincerely held religious beliefs or for known limitations related to pregnancy, childbirth, or related medical conditions. If you need an accommodation, please contact HRServices@highmarkhealth.org. This email is exclusively for accommodation requests under applicable laws.

2026 Highmark Health. All Rights Reserved.

Numbers & Facts

LocationPA
IndustryHealthcare Services
Company Size1,000 to 1,499 employees
Year Founded1996
Websitehttps://www.highmark.com/hmk2/index.shtml

About Company

Highmark provides millions of people with the security of quality health insurance

Our history of helping families and companies with their health insurance needs dates to the 1930s, when our predecessor companies were established to help Pennsylvania's residents pay for health care.

Highmark was created in 1996 by the consolidation of two Pennsylvania licensees of the Blue Cross and Blue Shield Association — Pennsylvania Blue Shield (now Highmark Blue Shield) and Blue Cross of Western Pennsylvania (now Highmark Blue Cross Blue Shield). We are now one of the largest health insurers in the United States.

Highmark's officers and board of directors set the company's strategic direction and corporate policies. They are guided by our mission, vision and values.

Skills

  • Administrative Managementunmatched
  • Analysis Skillsunmatched
  • Business Administrationunmatched
  • Communication Skillsunmatched
  • Computer Securityunmatched
  • Consultingunmatched
  • Corporate Planningunmatched
  • Corporate Policiesunmatched
  • Cross-Functionalunmatched
  • Data Analysisunmatched
  • Employee Relationsunmatched
  • English Languageunmatched
  • Facebookunmatched
  • Federal Laws and Regulationsunmatched
  • Financeunmatched
  • HIPAA (Health Insurance Portability and Accountability Act)unmatched
  • Health Economicsunmatched
  • Health Insuranceunmatched
  • Information/Data Security (InfoSec)unmatched
  • Internet Securityunmatched
  • Leadershipunmatched
  • Legal Standardsunmatched
  • LinkedInunmatched
  • Managed Careunmatched
  • Mentoringunmatched
  • Pharmacyunmatched
  • Presentation/Verbal Skillsunmatched
  • Problem Solving Skillsunmatched
  • Regulatory Complianceunmatched
  • Salesunmatched
  • Security Policyunmatched
  • State Laws and Regulationsunmatched
  • Strategic Analysisunmatched
  • Strategic Planningunmatched
  • Team Playerunmatched
  • Willing to Travelunmatched
  • Work From Homeunmatched
  • Writing Skillsunmatched
  • YouTubeunmatched

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