About the role
- Negotiation and Vendor Management. Lead negotiations with manufacturers, wholesalers, PSAO's, PBM's, specialty pharmacies, and logistics partners.
- Develop contracts, pricing structures, SLA's, and performance metrics. Manage vendor performance to ensure service excellence, compliance, and cost optimization.
- Strategic Supply Chain Leadership. Lead planning and execution for end-to-end pharmacy supply chain operations, including retail, specialty, mail-order, and home delivery channels. Develop sourcing, contracting, and operational strategies aligned with organizational goals.
- Partner with internal Pharmacy, Clinical, PBM, Finance, and Technology teams to optimize supply chain performance.
- Pharmacy Benefit and PBM Expertise. Apply knowledge of pharmacy benefit design, formulary strategy, network economics, and claims operations. Collaborate with PBM partners to resolve issues, improve workflows, and support benefits performance. Monitor emerging trends and regulatory changes impacting pharmacy benefits.
- Implementation Leadership. Lead cross-functional pharmacy and supply chain implementations, including process deployments, benefit launches, and vendor transitions. Develop project plans, oversee execution, and ensure operational readiness. Create standard implementation playbooks and best practices.
- Pharmacy Data Analytics. Use pharmacy data to identify trends, cost drivers, utilization patterns, and operational opportunities. Build analytics dashboards, KPI's, and reporting tools for leadership and stakeholders. Translate data insights into clear operational or strategic recommendations.
- Problem Solving and Operational Excellence. Diagnose and resolve complex supply chain, fulfillment, pricing, inventory, and benefit issues. Drive root cause analysis and continuous improvement efforts. Implement scalable processes and operational standards.
- Account Management and Stakeholder Engagement. Serve as a strategic advisor to internal partners, health plans, employer groups, and pharmacy partners. Build strong relationships and manage expectations with senior stakeholders. Deliver executive-level presentations, insights, and strategy updates.
Qualifications:
Education
- Required Bachelor's Degree Degree in Pharmacy, Supply Chain, Business or related field; or equivalent experience
- Preferred Master's Degree PharmD or MBA preferred
Experience
- Required 4+ Years Experience in pharmacy operations, supply chain, PBM, pharmaceutical distribution, or related fields
Knowledge Skills and Abilities
- Proven negotiation and vendor management skills.
- Strong analytical skills with experience using pharmacy or supply chain data.
- Demonstrated success leading projects or implementations.
- Excellent communication, problem-solving, and relationship-building abilities.
- Experience in PBM, health plan, retail pharmacy, or specialty pharmacy environments preferred.
- Understanding of pharmacy claims, formulary structure, rebate models, or regulatory requirements preferred.
- Experience supporting multi-functional teams or budgets preferred.
#LI-Remote
The posting range for this position is:
$161,000-$205,800
This is the lowest to highest salary we, in good faith, believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the hiring range and this hiring range may also be modified in the future. A candidate’s position within the hiring range may be based on several factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, shift, travel requirements, and business or organizational needs. This job is also eligible for annual bonus incentive pay.
We offer a comprehensive package of benefits including paid time off, 11 holidays, medical/dental/vision insurance, generous 401(k) matching, lifestyle spending account and many other benefits to eligible employees.
Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.
Skills & Tags
Aplyr's read
Blue Cross Blue Shield is a collective of independent health insurers, ideal for professionals passionate about community health and complex regulatory environments.
What's promising
- •BCBSA offers diverse roles in policy, data science, and healthcare solutions.
- •Strong focus on community-based health initiatives and local operations.
- •Opportunities to work on advanced projects in AI and cybersecurity.
What to watch
- •Complex organizational structure with 36 independent entities may lead to bureaucratic challenges.
- •Navigating regulatory environments can be demanding and intricate.
- •Limited public information about internal culture and employee satisfaction.
Why Blue Cross Blue Shield
- •Federation model allows for localized decision-making and community engagement.
- •Significant involvement in federal and state healthcare policy development.
- •Pioneering roles in healthcare data science and artificial intelligence.
Aplyr’s read is generated by AI from public sources. Was it useful?
About Blue Cross Blue Shield
The Blue Cross Blue Shield Association (BCBSA) is a federation of 36 independent, community-based and locally operated Blue Cross and Blue Shield companies. It provides health insurance coverage to millions of Americans.
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