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Pharmacist - Medical Network

2 months ago

Oakland CA, United States Blue Shield of California Full time

Your Role The Pharmacy team provides pharmacy benefit management services and strategies to support Blue Shield affordability and membership goals. The Pharmacist, Principal of Pharmacy Products will report to the Sr. Manager, Pharmacy Products. In this role you will support pharmacy product strategy development and implementation to support attainment of pharmacy pricing, membership growth, and retention strategies and initiatives. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.
Develop, analyze & monitor prescription drug, medical claims, and program data to identify opportunities to improve quality and cost of healthcare and to monitor/report performance and outcomes
Develop project proposals for identified opportunities and support implementation
Serve as a BSC Pharmacy Services contact and subject matter expert to stakeholders, and manage external relationships (vendors, clients) related to assigned work
Serve as a primary pharmacy lead to work with Commercial business units to develop and implement pharmacy products and market initiatives that align with business unit growth and profitability objectives
Lead and/or actively participate in cross functional processes, including executive audience forums, to brainstorm, influence and recommend pharmacy strategies and initiatives to support value proposition, annual go to market and multi-year roadmap planning
Provide thought leadership and pharmacy marketplace intelligence to influence product and cost of health care strategy development and prioritization
Monitor pharmacy program performance, marketplace and mandate requirements, and work cross functionally and coordinate with other business units such as Actuary and Product to support line of business management and develop solutions to differentiate Blue Shield of California
Support issue resolutions, communications, and solutions development that impact pharmacy benefit and day-to-day operations to ensure lines of business deliverables are met
Support Pharmacy Care Reimagined strategic initiative implementation as appropriate
Requires a Doctor of Pharmacy (PharmD) degree
Requires at least 4 years of experience in clinical pharmacy, with experience working in a managed care or pharmacy benefit management setting preferred
Prior experience in presenting pharmacy program recommendations, performance, value and observations to executive leadership is preferred
Prior experience in pharmacy benefit strategy and solutions development with understanding of pharmacy levers and marketplace requirements is preferred
Strong business acumen with proven experience in strategy development and planning
Proficiency in MS Office products, particularly in MS Word, PowerPoint, and Excel