Specialty Pharmacist Consultant

Highmark Inc

Pittsburgh, PA

JOB DETAILS
SKILLS
Analysis Skills, Business Skills, Communication Skills, Consulting, Continuous Improvement, Corporate Policies, Data Analysis, Drug Therapy, English Language, Exceeded Sales Goal, Federal Laws and Regulations, HIPAA (Health Insurance Portability and Accountability Act), Health Insurance, Health Plan, Healthcare, Information/Data Security (InfoSec), Leadership, Legal Standards, Managed Care, Metrics, Performance Management, Pharmacy, Process Management, Project/Program Management, Regulatory Compliance, Sales, Security Policy, State Laws and Regulations, Team Lead/Manager, Training/Teaching, Willing to Travel
LOCATION
Pittsburgh, PA
POSTED
30+ days ago

Apply for Specialty Pharmacist Consultant | Careers at Highmark Health

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Pittsburgh, PA 15222 FAP 5th Avenue Place Company: Highmark Inc.

Job Description

JOB SUMMARY

This senior pharmacist role seeks a specialty pharmacist with strong program management expertise and experience leading strategic specialty pharmacy initiatives across an interdisciplinary team within a healthcare organization. The successful candidate will lead both clinically focused and non-clinical programs and serve as a clinical consultative resource for specialty programs led by other team members. This position requires a balance of clinical and business acumen to successfully implement support and oversee assigned specialty pharmacy programs. As a subject matter expert in specialty pharmacy program offerings, the incumbent will be responsible for program implementation, market introduction, overall performance, and continuous improvement. This individual will collaborate with internal partners, external stakeholders, including vendors and leadership, to enhance the organizations evolving specialty pharmacy program strategy, ensuring value delivery for the organizations customers.

ESSENTIAL RESPONSIBILITIES

Act as the subject matter expert SME regarding programs and related workflows. Work effectively within the matrix environment to assemble and facilitate project and ad hoc teams to reach determined objectives.

Manage assigned process, people, and technology against operational metrics and other key indicators.

Act as a change agent, securing alignment of partners with the overall Specialty Pharmacy strategy and business goals to meet or exceed assigned program deliverables while ensuring effectiveness, efficiency, and maintaining integrity.

Monitor, evaluate, and present pharmacy data related to programs and make recommendations for data analysis and reporting to monitor effectiveness and value of programs.

Assess existing Specialty Pharmacy programs for improvement opportunities and provide new program design ideas. Collaborate across the organization to groom opportunities and progress through appropriate channels when next steps are appropriate.

Provide input to presentations and training materials to properly reflect programs and related timelines. Present key findings and recommendations and act as a pharmacy expert adviser for the programs.

Develop and maintain relationships with internal Highmark staff and external partners for promotion of Specialty Pharmacy programs and strategy.

Work collaboratively with Pharmacy Sales, Pharmacy Operations, and other relevant teams regarding program build, translation into market demand, and operational impacts of partnerships.

Other duties as assigned or requested.

EXPERIENCE

Required:

  • 3 years in the Health Care Industry
  • 1 year of Program Leadership or Project Management

Preferred:

  • Completion of an accredited PGY-1 Managed Care Pharmacy Residency Program
  • Progressive experience in clinical pharmacy strategy and specialty pharmacy programs development within a health system, health plan, PBM setting, and/or specialty pharmacy setting

SKILLS

  • Project Management
  • Consulting
  • Continuous Improvement
  • Presentation Creation and Delivery
  • Communication Skills
  • Analytical Skills

EDUCATION

Required:

  • Bachelors degree in Pharmacy

Preferred:

  • None

LICENSES or CERTIFICATIONS

Required:

  • None

Preferred:

  • Registered Pharmacist
  • Board Certification in Specialty Pharmacy CSP
  • Board Certification in Pharmacotherapy BCPS

LANGUAGE

Other than English:

  • None

TRAVEL REQUIREMENT

0 - 25%

PHYSICAL MENTAL DEMANDS and WORKING CONDITIONS

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 to 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, lifting 50 pounds or more

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 job 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 companys Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employees responsibility to comply with the companys Code of Business Conduct, which includes but is not limited to adherence to applicable federal and state laws, rules, and regulations, as well as company policies and training requirements. 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.

For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org.

California Consumer Privacy Act: Employees, Contractors, and Applicants Notice

Apply Job Details Job category: Pharmacy Position Type: FULL_TIME Posted: 2026-02-25T20:40.25.5645000 Locations: Pittsburgh, PA 15222 FAP 5th Avenue Place Line of Business: Entity Recruiter: Hiring Manager Experience Level: Job Family: Pharmacy Gen-HM Req ID: J277272 Share Facebook X LinkedIn Whatsapp Email Copy URL Apply Open in new tab icon Arrow left icon Twitter icon Facebook icon Linkedin icon Instagram icon Youtube icon Glassdoor icon Featured Links Competitively Sensitive Information Cyber Security Notice at Collection E-Verify English E-Verify - Employee Rights and Responsibilities Data Protection Sitemap Terms of Service Do Not Sell Share E-Verify Spanish Digital Privacy Policy 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. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org. © 2026 Highmark Health. All Rights Reserved.

About the Company

H

Highmark Inc

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.

COMPANY SIZE
1,000 to 1,499 employees
INDUSTRY
Healthcare Services
FOUNDED
1996
WEBSITE
https://www.highmark.com/hmk2/index.shtml