Highmark · 1 day ago
Director Clinical and Pharmacy Strategy & Client Engagement
Pittsburgh, PA
Full-time
Hybrid
Mid, Senior Level
7+ years expHighmark Inc. is seeking a Director of Clinical and Pharmacy Strategy & Client Engagement to lead a multifaceted team responsible for driving clinical strategy and managing key client accounts. This role involves demonstrating the value of pharmacy products and services while fostering partnerships and achieving growth targets in the pharmacy benefit management landscape.
Health CareHealth InsuranceInsuranceWellness
Responsibilities
Spearhead high-level clinical presentations and discussions with strategic clients, brokers, and prospects, serving as a primary clinical Subject Matter Expert (SME) and trusted advisor. Articulate compelling clinical and financial value propositions for Highmark's pharmacy and medical clinical products and services, driving executive-level buy-in and securing commitment to proposed solutions
Drive enterprise-level clinical strategy development and integration. Translate client feedback, market trends, and internal/external insights into actionable clinical strategies, product development, and pricing recommendations, profoundly influencing the overall clinical direction of the organization. Provide strategic focus on future clinical solution development
Actively lead departmental strategic planning, goal setting, and initiative coordination. Direct annual process improvement projects to significantly enhance clinical sales effectiveness and efficiency, ensuring alignment between enterprise clinical strategies and client-specific needs
Oversee reporting and analytics initiatives to translate complex clinical data into compelling, client-facing reports. Effectively communicate the value and impact of clinical interventions to both clinical and business stakeholders, showcasing tangible outcomes
Direct and oversee the post-sale implementation of complex clinical programs and products, ensuring seamless integration and optimal client outcomes. Coordinate strategically with senior-level executives at client organizations and external vendors to achieve defined goals
Act as the primary point of contact and ultimate clinical resource for all complex clinical inquiries. Provide expert guidance and support to internal teams, sales, and clients, contributing critical clinical expertise to all RFP/RFI responses
Drive the strategic management and growth of key pharmacy accounts, ensuring high client retention, satisfaction, and revenue expansion across existing medical accounts and new Highmark markets
Lead and guide account teams in developing compelling proposals and sales collateral for renewals and new business. Oversee client implementations and onboarding, providing strategic direction for content, annual reviews, and market penetration strategies
Establish and refine protocols to ensure optimal execution of client objectives and service delivery. Provide leadership for client experience initiatives, resolving complex issues, and orchestrating seamless post-sale operational coordination with all stakeholders
Strategically analyze client needs and Highmark's financial objectives to direct the recommendation of tailored pharmacy solutions, pricing, and benefit arrangements. Set and monitor aggressive sales quotas, leverage CRM through Salesforce for pipeline management, and provide strategic forecasts to executive leadership
Build, nurture, and leverage high-level relationships with crucial decision-makers (employers, brokers, consultants) and internal cross-functional teams, serving as a trusted strategic advisor to align on goals and drive superior client satisfaction
Maintain in-depth knowledge of the health plan's pharmacy benefit offerings, including formulary management, clinical programs, specialty pharmacy, and network management
Stay up-to-date on industry trends, regulatory changes, and competitive developments
Perform management responsibilities to include, but are not limited to involved in hiring and termination decisions, coaching and development, rewards and recognition, performance management and staff productivity. Plan, organize, staff, direct and control the day-to-day operations of the department; develop and implement policies and programs as necessary; may have budgetary responsibility and authority
Other duties as assigned or requested
Qualification
Required
7 years of experience in Pharmacy Managed Care, Pharmacy Consulting, or PBM Sales
5 years of experience in Management or leadership role
Bachelor's degree in Pharmacy or Pharm D
State-specific Producer license Life, Accident & Health is required or must be obtained within 45 days of hire
Pharmacist License within 45 days of hire
Preferred
Master's Degree in Pharmacy
Doctorate's Degree in Pharmacy
Company
Highmark
Highmark provides health insurance plans for individuals and businesses.
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