**Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** + Collaborate with stakeholders to establish and execute Specialty Pharmacy Program strategies that include organizing and coordinating activities to ensure the successful delivery of desired results. + Monitor and evaluate activity progress: Continuously monitor and evaluate the progress, status, and alignment of all ongoing activities within Specialty Pharmacy Programs. + Maintain project viability and communicate effectively: Perform change management as necessary to maintain the viability, relevance, and timeliness of all work. Communicate regularly and effectively with stakeholders to address any issues or concerns that may arise. + Conduct project research and management: Perform thorough research on assigned projects and assume full responsibility for managing and leading those projects to successful completion, meeting all business objectives. Analyze data to identify business problems, trends, or opportunities for process improvement. + Research, analyze and evaluate new program needs: Identify opportunities to develop new and innovative pharmacy products. Conduct appropriate research and analysis to assess the feasibility of administering and implementing these new products. + Gather requirements and translate business needs: Collaborate closely with business owners and stakeholders to thoroughly understand all business needs, processes, project specifications, and the development of business cases. Translate these business needs into clearly defined, documented, high-quality requirements, functional designs, and supplementary system specifications. **ESSENTIAL RESPONSIBILITIES** + 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 areas where improvements are needed and to develop and monitor appropriate action plans to ensure a consistent 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 formulates plans. Make decisions that refine and improve known practices or develops 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 contributes and manages 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 upon 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. **EDUCATION** **Required** + High school diploma / GED **Substitutions** + None **Preferred** + Bachelor's Degree **EXPERIENCE** **Required** + Healthcare experience + Project Management experience **Preferred** + Project Management **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + Six-Sigma **SKILLS** + Advanced experience with MS Office + A dependable problem-solver and administrator, responsible for maintaining efficient department processes coupled with analytical skills. + Excellent communication skills, with the ability to translate pharmacy process details into easily digestible information. + A proactive, solutions-oriented attitude, and exceptional organizational skills. + A collaborative spirit and the ability to work effectively within a team. + An attention to detail and commitment to data accuracy. + Experience with pharmaceutical data. + Proficiency in data analysis tools (e.g., SQL, Excel, PowerBI, Tableau) **Language (Other than English):** None **Travel Requirement:** 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 Rarely Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required Yes Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds Rarely **_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 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:** $57,700.00 **Pay Range Maximum:** $107,800.00 _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: J259547