Senior Director Pharmacy

At Blue Cross and Blue Shield of Minnesota we are committed to paving the way for everyone to achieve their healthiest life. We are looking for dedicated and motivated individuals who share our vision of transforming healthcare. As a Blue Cross associate you are joining a culture that is built on values of succeeding together finding a better way and doing the right thing. If you are ready to make a difference join us.

The Senior Director of Pharmacy serves as BCBSMNs primary strategic liaison between pharmacy sales and network teams while leading and developing a high-performing pharmacy team. This role is responsible for evaluating pharmacyrelated RFP opportunities ensuring proposed solutions are viable competitive profitable and operationally realistic. The position also leads pharmacy engagement with network partners establishing solution frameworks reviewing analytics and collaborating with P&L owners to proactively manage performance.

This leader ensures BCBSMN delivers clinically sound costeffective and marketresponsive pharmacy and specialty benefit solutions while strengthening relationships across sales network operations and our PBM partner.

• Sales Liaison & RFP Strategy.
• Evaluate pharmacyrelated RFPs for viability profitability competitiveness and operational feasibility.
• Develop and evaluate strategies for groups to help with total cost of recommendations and push back on unrealistic unprofitable or nonaligned request elements.
• Partner with Sales to shape pharmacy product & solutions that align with client and member needs support clientfacing discussions and finalist presentations.
• Network Liaison & Solution Framework Leadership.

• Collaborating with Network and P&L owners to design and implement programs and solutions that align pharmacy and provider strategies.
• Reviewing analytics and utilization data to guide solution(s) performance supporting total cost of care goals.
• Proactively managing solution performance and coordinate with Network Analytics PBM and operational teams to optimize results.
• Assemble and deliver group level reporting of plan spend program performance and impact analysis of proposed programs and solutions.
• Pharmacy Program Leadership
• Developing and implementing pharmacy and specialty benefit strategies that manage cost and improve member and provider experiences.
• Monitoring industry trends and driving innovation in pharmacy services benefit design and operational effectiveness.
• Performs additional responsibilities consistent with the scope and level of the role as assigned.

• 7 years of progressive health services experience with 3 years of management experience.
• Doctor of Pharmacy (PharmD) or Registered Pharmacist (.) degree.

• Masters degree in related field
• Ability to communicate strategic direction across departments actively listen to address organizational challenges and align leaders and stakeholders through clear and actionable guidance.
• Ability to analyze cross-functional impacts set clear priorities and guide leaders to resolve high-impact challenges and improve outcomes.
• Ability to communicate strategic direction listen to address challenges utilize technology to analyze cross-functional impacts and aligns stakeholders to drive prioritized high-impact solutions.
• Ability to effectively organize work balance cross-functional priorities and manage team capacity across initiatives to support business objectives.
• Experience and knowledge of pharmacy operations including PBM health plan retail specialty or medical pharmacy.
• Experience in triaging and resolving inquiries associated to claims and benefits.
• Experience working Commercial Medicare and/or Medicaid.
• Experience working with members/clients/patients on the phone.
• Demonstrated project management and strategy development skill set.
• Pharmacy quality measurement knowledge (e.g. Star Ratings HEDIS).

Required:
Pharmacist License - Minnesota State Pharmacy Licensing Board Hybrid

Role designation definition:

• Teleworking is working full time remote.
• Hybrid is a minimum of 2 days onsite.
• Onsite is full-time onsite.

Anchored in Connection

Our hybrid approach is designed to balance flexibility with meaningful in-person connection and collaboration. We come together in the office two days each week most teams designate at least one anchor day to ensure team interaction. These in-person moments foster relationships creativity and alignment. The rest of the week you are empowered to work remote.

$152900.00 - $210300.00 - $267700.00 Annual

Pay is based on several factors which vary based on position including skills ability and knowledge the selected individual is bringing to the specific job.

We offer a comprehensive benefits package which may include:

• Medical dental and vision insurance

• Life insurance

• 401k

• Paid Time Off (PTO)

• Volunteer Paid Time Off (VPTO)

• And more

To discover more about what we have to offer please review our benefits page.

At Blue Cross and Blue Shield of Minnesota we are committed to paving the way for everyone to achieve their healthiest life. Blue Cross of Minnesota is an Equal Opportunity Employer and maintains an Affirmative Action plan as required by Minnesota law applicable to state contractors. All qualified applications will receive consideration for employment without regard to and will not be discriminated against based on any legally protected characteristic.

Individuals with a disability who need a reasonable accommodation in order to apply please contact us at:

Blue Cross and Blue Shield of Minnesota and Blue Plus are nonprofit independent licensees of the Blue Cross and Blue Shield Association.

Physical requirements.