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Highmark Health

Health insurance plans and wellness resources

Pharmacy Practice Supervisor - Central Prior Authorization Department

PharmacyConfirmed live in the last 24 hours
Full-timeZelienople, PA, USANo salary listedHybrid

About the Job

Requirements

  • A bachelor's degree in Pharmacy or a Doctor of Pharmacy degree (PharmD).
  • A license or eligibility for licensure as a Registered Pharmacist in Pennsylvania and/or New York at hire, or the ability to sit for boards and obtain licensure within 120 days.
  • Three years of pharmacy experience, or completion of a two-year administrative pharmacy residency program.
  • Compliance with the code of business conduct, company policies, applicable laws and regulations, and training requirements.
  • Protection of covered information, cardholder data, and other confidential customer information in accordance with HIPAA and company data security guidelines.

Responsibilities

  • Assist the Pharmacy Manager and/or Director of Pharmacy by providing leadership and direction for pharmacy services, activities, and functions, while also performing pharmacist duties.
  • Supervise day-to-day pharmacy services and functions, including drug distribution, drug education, pharmacist clinical activities, retail business expansion, inventory management, performance measurement, regulatory compliance, employee development, and multidisciplinary team development.
  • Coordinate pharmacy patient care services with nurses, physicians, and other healthcare providers to resolve clinical or drug distribution issues.
  • Assist with developing, implementing, administering, and enforcing hospital and departmental policies and procedures, and participate in performance improvement and regulatory compliance.
  • Assist with personnel activities, including interviewing, orientation, staffing, corrective action, competency assessment, and performance appraisals; prepare staff work schedules and assignments; adjust staffing and schedules to meet workload demands; and provide regular communication, supervision, and feedback to staff.
  • Supervise departmental personnel and operational practices to ensure regulatory compliance; monitor the disposition of controlled drugs as required by state and federal regulations and conduct regular audits.
  • Assist in monitoring financial parameters and operating within budgetary targets.
  • Participate in designing, implementing, and evaluating systems, processes, and methods to enhance quality, improve service, and increase cost effectiveness; work with supervision to implement, monitor, and report on relevant activities.
  • Perform staff pharmacist duties as necessary and other duties as assigned or required.

Desired Qualifications

  • A Pharmacy Residency.
  • A master's degree in Pharmacy, Business, or Healthcare Management.

About the Company

Highmark Health

Health insurance plans and wellness resources

Highmark Health provides health insurance plans in Pennsylvania, Delaware, and West Virginia for individuals, families, businesses, and Medicare beneficiaries. Plans are funded by premiums and government reimbursements, and cover services like doctor visits, hospital stays, prescription drugs, and preventive care, plus member tools such as symptom checkers, cost and coverage details, and OTC rapid test reimbursements. It differentiates itself through active community involvement and sustainability efforts, alongside a large, diverse member base and Medicare compatibility that influence plan design. The goal is to improve community health by offering comprehensive coverage and supportive health resources while operating in a responsible and sustainable way.

Company size
5,001-10,000
Company stage
Grant
Total funding
$29.6M
Headquarters
Pittsburgh, PA
Founded
1996

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