About the role
Job Responsibilities
- Benefit Strategy Development: Utilize clinical and analytical data to evaluate product performance and develop strategic pharmacy benefit options tailored to customer needs.
- Pharmacy SME Support: Serve as the pharmacy subject matter expert throughout the development, implementation, and maintenance of drug solutions aligned with enterprise strategy.
- Client-Facing Communication: Prepare and present pharmacy-related information to employer groups, benefit representatives, brokers, and internal account teams to educate on industry trends and recommend solutions.
- Regulatory Collaboration: Partner with enterprise leaders to identify opportunities that meet market needs and comply with state and federal regulatory requirements.
- Cross-Functional Engagement: Collaborate across product, clinical, and operational teams to ensure pharmacy strategies are integrated and responsive to evolving customer and market demands.
- Innovation Leadership: Lead initiatives to evolve benefit strategies and pharmacy offerings in response to emerging trends and client needs.
- Pharmacy Value Demonstration: Leverage pharmacy acumen to articulate the clinical and economic value of pharmacy solutions in support of enterprise growth and retention strategies.
Job Qualifications
Education
- Doctor of Pharmacy (PharmD) required
Experience
- Minimum 8 years Clinical experience required
- Minimum 6 years Practical experience in a managed care environment
Skills\Certifications
- Licensed in Tennessee to practice pharmacy, or eligible for licensure in the state of Tennessee to practice pharmacy
- Ability to develop and execute strategic pharmacy benefit designs
- Expertise in clinical and regulatory compliance for managed care
- Skill in client-facing communication and relationship management
- Strength in cross-functional collaboration for enterprise solutions
- Leadership in driving innovation and evolving pharmacy strategies
Number of Openings Available
1Worker Type:
EmployeeCompany:
BCBST BlueCross BlueShield of Tennessee, Inc.Applying for this job indicates your acknowledgement and understanding of the following statements:
BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law.
Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page:
BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.
Aplyr's read
BlueCross BlueShield of Tennessee is a not-for-profit health insurer focused on providing comprehensive health plans for Tennesseans, with diverse roles in healthcare and technology.
What's promising
- •Strong community focus as a not-for-profit organization.
- •Diverse career opportunities in healthcare, IT, and administration.
- •Commitment to innovation with roles in AI and cybersecurity.
What to watch
- •Limited geographic scope to Tennessee may restrict career mobility.
- •Potential bureaucratic challenges typical of large insurers.
- •Pressure to adapt to evolving healthcare regulations and technologies.
Why BlueCross BlueShield of Tennessee
- •Deep-rooted presence in Tennessee's healthcare landscape.
- •Emphasis on technological innovation in health services.
- •Not-for-profit status aligns with community-driven mission and values.
Aplyr’s read is generated by AI from public sources. Was it useful?
About BlueCross BlueShield of Tennessee
BlueCross BlueShield of Tennessee is a not-for-profit health insurance provider that offers a variety of health plans and services to individuals and businesses in Tennessee.
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