Talent.com
Pharmacy Business Consultant

Pharmacy Business Consultant

Highmark HealthSpringfield, IL, United States
job_description.job_card.1_day_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

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.

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

Doctor of Pharmacy degree (Pharm D) or Bachelor's degree in Pharmacy

Master's Degree in Business Administration / Management, Finance, or Economics

EXPERIENCE

Required

  • 5 - 7 years Managed Care
  • Or

    5 - 7 years Health Insurance Industry

    1 - 3 years Pharmacy Operation

    Preferred

    Registered Pharmacist or PharmD

    3 years in Health Plan, Pharmacy Benefit Manager (PBM) or Pharmaceutical manufacturer environment

    Experience in a Health Plan or PBM pharmacy department supporting strategic care cost savings initiatives

    LICENSES OR CERTIFICATIONS

    Required

  • None
  • Preferred

    Registered Pharmacist or PharmD

    Completion of a Post Graduate Pharmacy Residency Program

    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

    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.

    Pay Range Minimum : $78,900.00

    Pay Range Maximum : $147,500.00

    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.

    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

    Req ID : J270595

    serp_jobs.job_alerts.create_a_job

    Pharmacy Pharmacy • Springfield, IL, United States

    Job_description.internal_linking.related_jobs
    • serp_jobs.job_card.promoted
    Outsource Liaison

    Outsource Liaison

    Decatur Memorial HospitalSpringfield, IL, US
    serp_jobs.job_card.full_time
    Acting under the supervision of the Credit & Collection Manager, acts as a liaison between MMC and the extended business office(s) for the collection of patient responsibility account balances.Embo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Xfinity Retail Sales Consultant

    Xfinity Retail Sales Consultant

    ComcastSpringfield, IL, US
    serp_jobs.job_card.full_time
    Comcast brings together the best in media and technology.We drive innovation to create the worlds best entertainment and online experiences. As a Fortune 50 leader, we set the pace in a variety of i...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Patient Access Specialist I

    Patient Access Specialist I

    Decatur Memorial HospitalSpringfield, IL, US
    serp_jobs.job_card.full_time
    Our Patient Access Specialist assists in providing access to services provided at the hospital and / or other service area. Processes registration information for the patient visit, obtaining patient ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Independent Sports Medicine Sales Consultant

    Independent Sports Medicine Sales Consultant

    CONMED CorporationSpringfield, IL, US
    serp_jobs.job_card.full_time
    CONMED has been leading the development of cutting-edge surgical and patient care products since the early 1970s.We believe it is our capacity to innovate that sets us apart.We iterate on our produ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Patient Service Representative - Oncology

    Patient Service Representative - Oncology

    Springfield ClinicSpringfield, IL, United States
    serp_jobs.job_card.full_time
    The Patient Service Representative - Operations is responsible for discussing insurance coverage, including usual and customary charges, Medicare and Medical Assistance availability, reimbursement ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Pharmacist IL

    Pharmacist IL

    Quadrant IncLitchfield, Illinois, US
    serp_jobs.job_card.full_time
    Candidates should take the time to read all the elements of this job advert carefully Please make your application promptly. Must have an active and good standing Illinois Pharmacist License.Must ha...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Patient Account Representative

    Patient Account Representative

    HSHSVirden, IL, US
    serp_jobs.job_card.full_time +1
    Patient Account Representative.The Patient Account Representative is responsible for resolving outstanding unpaid, unprocessed and / or denied medical claims to third-party payers.This role frequentl...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Cultivation Associate

    Cultivation Associate

    CuraleafSpringfield, IL, US
    serp_jobs.job_card.full_time
    At Curaleaf, we're redefining the cannabis industry with a strong commitment to quality, expertise, and innovation.As a leading global cannabis provider, our brands—including Curaleaf, Se...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Retirement Advocate I

    Retirement Advocate I

    Horace MannSpringfield, IL, US
    serp_jobs.job_card.full_time
    Retirement Advocate will perform Annuity new business transactions and work as a part of a flexible work group to maximize workflow efficiencies and production. This is a hybrid position, must live ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Health Insurance Agent

    Health Insurance Agent

    AflacSpringfield, IL, US
    serp_jobs.job_card.full_time
    At Aflac we will offer training to unlicensed individuals, enabling them to obtain an insurance license and enter one of the rapidly expanding industries. This role plays a pivotal part in realizing...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    BioPharma Sales Rep - Primary Care

    BioPharma Sales Rep - Primary Care

    Lynx TherapeuticsSpringfield, IL, US
    serp_jobs.job_card.full_time
    serp_jobs.filters_job_card.quick_apply
    If you are looking to work as a Pharmaceutical Sales Representative and promote innovative as well as clinically proven pharmaceutical products then we want to talk to you.We are dedicated to impro...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Associate Vice President, Revenue Cycle

    Associate Vice President, Revenue Cycle

    Springfield ClinicSpringfield, IL, United States
    serp_jobs.job_card.full_time
    The Associate Vice President, Revenue Cycle will lead and oversee the end-to-end revenue cycle management (RCM) functions for Springfield Clinic. Provide leadership, organizational and strategic dir...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Fulfillment Coordinator

    Fulfillment Coordinator

    CuraleafLitchfield, IL, US
    serp_jobs.job_card.full_time
    At Curaleaf, we're redefining the cannabis industry with a strong commitment to quality, expertise, and innovation.As a leading global cannabis provider, our brandsincluding Curaleaf, Select, and G...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Business Analyst 2-Ops

    Business Analyst 2-Ops

    Veterans StaffingSpringfield, IL, US
    serp_jobs.job_card.full_time
    Provides programs to improve financial analysis, operational efficiency, consistency, and compliance in support of the organization's financial and operational business objectives as well as Oracle...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Walmart Pharmacy Technician

    Walmart Pharmacy Technician

    TradeJobsWorkforce62515 Buffalo, IL, US
    serp_jobs.job_card.full_time
    Be part of our success story as a Walmart Pharmacy Technician to fill prescriptions, manage inventory, and assist with customer questions. Work closely with your team to maintain high performance an...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Behavioral Health Tech (Evening and Overnight)- Excellent Starting Rates and Differentials!

    Behavioral Health Tech (Evening and Overnight)- Excellent Starting Rates and Differentials!

    Universal Health ServicesSpringfield, IL, US
    serp_jobs.job_card.full_time
    Our Behavioral Health Tech provides direct patient care under the supervision of a registered nurse, facilitating a therapeutic and safe milieu by appropriate interaction with clients and ensuring ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Client Services Associate

    Client Services Associate

    TradeJobsWorkforce62515 Buffalo, IL, US
    serp_jobs.job_card.full_time
    As a Client Services Associate, you will be responsible for providing exceptional service and support to customers, including : respond to customer inquiries via phone & in person.Finance to provide...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Wealth Management Client Associate

    Wealth Management Client Associate

    Bank of AmericaSpringfield, IL, US
    serp_jobs.job_card.full_time
    Merrill Wealth Management Job Opportunity.Merrill Wealth Management is a leading provider of comprehensive wealth management and investment products and services for individuals, companies, and ins...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Omnichannel Associate

    Omnichannel Associate

    JCPenneySpringfield, IL, US
    serp_jobs.job_card.full_time
    As the Omni Associate you are accountable for contributing to profitable sales growth by executing Enterprise Fulfillment and jcp. Customer Service & Sales, Enterprise Fulfillment, jcp.Greets and as...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Sales Account Executive

    Sales Account Executive

    Elara CaringSpringfield, IL, US
    serp_jobs.job_card.full_time
    At Elara Caring, we have a unique opportunity to play a huge role in the growth of an entire home care industry.Here, each employee has the chance to make a real difference by carrying out our miss...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30