Highmark · 2 weeks ago
Pharmacy Analyst
Erie-Meadville Area
Full-time
Onsite
Entry, Mid Level
$58K/yr - $108K/yrHighmark Inc. is seeking a Pharmacy Analyst to support their Specialty Pharmacy Products and Programs. This role involves performing critical analytical work, assisting with departmental activities, and ensuring the effectiveness and quality of specialty programs across pharmacy and medical drug benefits.
Health CareHealth InsuranceInsuranceWellness
Responsibilities
Investigating product and program inquiries, ensuring adherence to standard operation procedures, mandates, and quality benchmark standards, analyzing variances, and conducting comprehensive program audits, including focused audits documenting variances, deviations and nonconformances within programs when product or process changes occur
Monitoring and evaluating progress, status, and alignment of activities, with the ability to initiate corrective action as needed to maintain work viability and timeliness and monitoring the effectiveness of these actions
Communicate regularly and effectively with customers regarding issues or concerns
Responsible for research, project leadership and data analysis to identify business problems or process improvement opportunities and evaluating the feasibility of new Pharmacy products
Partnering with business units to ensure compliance with governmental, contractual, and corporate guidelines, continuously monitoring regulatory changes, and providing consultation and analytic support to assigned functional areas
Collaboration with business owners/stakeholders to translate business needs into clearly defined requirements, functional designs, and system specifications for new applications or change requests is also a core function
Analyzing data to identify improvement opportunities
Qualification
Required
High school diploma / GED
Healthcare experience
Project Management experience
Advanced experience with MS Office
Experience in performing group/meeting presentations to technical/non-technical and customer audiences
Strong critical thinking skills
Ability to identify and assess patterns, trends, root causes, develop explanations and test solutions
Ability to identify and assess problems and solutions, refer to applicable policies, identify options, and recommend appropriate courses of action
Excellent verbal and written communication skills
Preferred
Bachelor's Degree (technical or science preferred)
Project Management
Technical proficiency in Excel
Analytical and problem-solving abilities
Technical proficiency in SQL
Experience with data visualization tools like Tableau or Power BI
Experience in a quality control or quality assurance role
Six-Sigma
Company
Highmark
Highmark provides health insurance plans for individuals and businesses.
Founded in 1996
10001+ employees
H1B Sponsorship
Highmark has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (11)
2024 (7)
2023 (19)
2022 (21)
2021 (18)
2020 (23)
Funding
Current Stage
Late StageTotal Funding
$27.3M2018-04-06Grant· $25M
2014-08-07Grant· $2.3M
Leadership Team
Deborah Rice-Johnson
CEO, Diversified Businesses at Highmark Inc. and Chief Growth Officer
Paul Sikora
CTO Provider Services
Recent News
2025-12-11
Company data provided by crunchbase