Director Government Pharmacy Services

Job ID: J119040
Company: Highmark Inc
Location: Pittsburgh, PA, United States
Full/Part Time: Full time
Job Type: Regular
Posted at: Mar 19, 2018

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Description

JOB SUMMARY

This job develops and implements pharmacy benefit strategies that align with and help achieve the overall goals of the MA and ACA markets with respect to the pharmacy benefit.  This includes product and program strategies and provider and member outreach strategies.  Manage and work collaboratively with other Organization business units to determine and assess product needs that align with the Organization's overall goals within each government market segment.   Work closely with the government P&L SVP’s and the Government Executive Medical Director to track pharmacy and medical cost trends and contribute to the turnaround and success of those products by achieving cost savings and revenue enhancements. Build strategic relationships with Providers, Pharmacy Consultants and brokers to act as a resource for the Pharmacy aspect of the Organization's government programs. The incumbent will work closely with other Pharmacy teams including Clinical Pharmacy Strategies,  Clinical Pharmacy operations and  Pharmacy Benefit Operations to assess market impact and operational impact of product and provider strategies.    

ESSENTIAL RESPONSIBILITIES

  • Direct and lead staff members in developing  pharmacy product initiatives, in order to reduce care costs of the Government market segments.
  • Develop provider outreach strategies with the goal of changing and/or driving prescriber behavior to drive care cost savings in the government market.
  • As part of the Med Econ process within the Organization, analyze pharmacy and medical drug data trends in order to develop pharmacy strategies that can be put in place to lower pharmacy trend rates in the government market.
  • Interact with pharmacy consultants and brokers regarding the pharmacy benefit for the government markets.
  • Direct and provide oversight to staff with planning and assigning work, including: instruction and direction to staff regarding solutions to meet business issues; negotiate project deliverables; anticipate impact and propose solutions; research and analyze complex operational business processes or system applications; and adhere to standards/procedure.
  • Communicate effectively with all levels of the organization and direct staff members to perform in a similar fashion. This includes: identifying and articulating issues 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; and establishing and maintaining customer touch points.
  • Direct staff in overall duties, which include: delegation of assignments, providing guidance and professional development, coaching and mentoring support, development and monitoring of employee performance on a regular basis to facilitate the attainment of departmental goals.  Promote a culture of performance excellence departmentally by: directing and implementing quality process improvement and tools training/certification; encouraging staff members to build and maintain effective relationships throughout organization to advance a culture of performance excellence.
  • Direct staff in assessment and implementation of projects and products.  This includes oversite that projects are assessed and implemented in a timely fashion.  This also includes direction assessing both Pharmacy and other departments needs related to pharmacy  related products and projects.
  • Other duties as assigned or requested.

EDUCATION

Required

  • Bachelor's Degree - Pharmacy (Registered Pharmacist)

Preferred

  • Doctorate of Pharmacy (Pharm.D.)

EXPERIENCE

Required

  • 8 years of leadership experience in Managed Care, Prescription Drug Benefit or Pharmacy Manufacturing environment
  • Demonstrated success in reducing pharmacy/drug cost trends

Preferred

  • 8 years of work experience managing vendor relationships, including developing RFPs, evaluating proposals and transition activities
  • 8 years of work experience in negotiation and contracting
  • 8 years of experience in project management in a leadership role
  • P&L experience

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 their race, color, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.
EEO is The Law
Equal Opportunity Employer Minorities/Women/ProtectedVeterans/Disabled/Sexual Orientation/Gender Identity (http://www1.eeoc.gov/employers/upload/eeoc_self_print_poster.pdf)
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 number below.
For accommodation requests, please call HR Services at 844-242-HR4U or visit HR Services Online at HRServices@highmarkhealth.org

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