Privacy Program Manager Jobs in Folsom, CA (NOW HIRING)

Company :

Highmark Inc.

Job Description :

JOB SUMMARY

This role operates in a hybrid model (T,W,TH) for employees residing within 50 miles of the corporate office.

This senior pharmacist role requires the incumbent to balance clinical and business acumen to implement and provide ongoing support and oversight of assigned pharmacy programs. This pharmacist will work in a team-oriented environment as a subject matter expert of assigned pharmacy program offerings with both clinical and non-clinical focus. The incumbent is responsible for implementation, market introduction, overall performance, and continuous improvement of their assigned programs. The incumbent will work with internal partners and leadership to develop a firm grasp of the organization's clinical program strategy as it evolves over time to enhance the value that is delivered to the organization's customers.

ESSENTIAL RESPONSIBILITIES

• Subject Matter Expertise & Program Leadership: Act as the subject matter expert (SME) for assigned programs and related workflows, including those with high complexity. Function independently as business SME during assigned program implementations, expansions, and enhancements. Meet or exceed assigned program goals and objectives. Provide formal or informal leadership to support pharmacy strategy initiatives.

• Program Monitoring & Evaluation: Monitor outcomes of operational and technical enhancements to assigned programs. Monitor, evaluate and present pharmacy data related to assigned programs; make recommendations for data analysis and reporting to monitor effectiveness and value.

• Compliance & Documentation: Ensure ongoing state and federal compliance of assigned programs, in concert with legal, product, and risk matrix partners. Development and maintenance of internal program documentation, coordinating between matrix teams where appropriate.

• Stakeholder Education & Communication: Development and maintenance of accurate marketing materials for assigned programs. Provide written and verbal education on assigned programs to internal stakeholders.

• Program Optimization & Efficiency: Identify and support opportunities for program efficiencies and/or enhancements.

• Interdepartmental Collaboration: Ensure compatibility with medical product solutions where applicable. Work effectively within a matrixed environment to assemble and facilitate project and ad-hoc teams to reach determined objectives.

• Other duties as assigned or requested.

EXPERIENCE

Required

• 5 years of related, progressive experience in the pharmacy area of specialization OR completion of an accredited PGY-1 Managed Care Pharmacy Residency Program plus 2 additional years of related, progressive experience in the pharmacy area of specialization

Preferred

• Progressive experience in pharmacy strategy, formulary administration, pharmacy program or product development within a health system, health plan, or pharmacy benefit manager setting

SKILLS

• An understanding of managed care pharmacy principles and practices is essential

• Demonstration of strong verbal and written communication skills, as well as proficiency in the use of computer-based data processing

• Microsoft Office products, and database applications

• Be able to quickly identify and prioritize essential elements of problem

• Independently or in a team, be able to identify the root issues and formulate potential solutions

• An understanding of managed care principles and practices is essential

EDUCATION

Required

• Bachelor of Science in Pharmacy or a Doctor of Pharmacy degree

Preferred

• None

LICENSES or CERTIFICATIONS

Required

• Registered Pharmacist (Non-State Specific)

Preferred

• None

Language (Other than English):

• None

Travel Required:

• Less than 25%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type

• Office-Based or Remote Position

Physical work site required

• Frequently

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:

$118,400.00

Pay Range Maximum:

$196,800.00

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: J284078