Senior Manager, Pharmacy Operations

1 week ago


San Diego, California, United States Blue Shield of California Full time

About the Role

The Pharmacy team at Blue Shield of California provides pharmacy benefit management services and strategies to support our affordability and membership goals. As the Senior Manager, Pharmacy Operations, you will report to the Director, Pharmacy Services. In this role, you will support pharmacy membership growth and retention strategies and initiatives.

Your Responsibilities

  • Provide oversight for the management of program area operations and employees.
  • Be responsible for promoting and executing the overall vision, goals, objectives of the business unit.
  • Provide oversight for the coordination of activities of the program area with other business units and monitor operational statistics to ensure all respective accreditation, regulatory, and compliance requirements are met.
  • Identify performance improvement opportunities to achieve or exceed benchmarks and advise on issues requiring immediate escalation.
  • Provide oversight for the development, implementation, coordination, and assessment of programs to improve quality and cost-effectiveness.
  • Partner with business unit teams to support planning and develop pharmacy strategies that align with business unit growth and profitability objectives.
  • Partner with business unit sales and manage team to develop pharmacy request for proposal (RFP) strategies and responses.
  • Partner with underwriting to develop Rx pricing and guarantee strategy approach for self-funded groups to improve competitive position.
  • Lead development and maintenance of integrated pharmacy value story to support membership growth and retention.
  • Manage team and work cross-functionally as needed to manage and resolve client issues, respond to day-to-day client inquiries, and ensure client contract guarantees and deliverables are met.
  • Manage team to provide consultative support and support development of training tools, presentations, sales collaterals on pharmacy product offerings and value proposition as needed to support sales.
  • Active participation in client renewals, brokers meetings, and finalist presentations as needed to promote pharmacy value proposition.

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