Pharmacy Contracting and Operations Manager
About The Position
Blue Cross and Blue Shield of Vermont is looking for a Pharmacy Contracting and Operations Manager to join our Pharmacy team. Our company culture is built on an unwavering focus on the health of Vermonters, outstanding member experiences, and responsible cost management for all the people whose lives we touch. We offer a balanced and flexible workplace, an onsite gym, fitness and wellness programs, a competitive salary and full benefits package including medical and dental insurance, vision, 401K, paid time off and holidays, tuition reimbursement and student loan repayment, dependent caregiver benefits, and resources to support your ongoing personal and professional growth and development.
Requirements
- Bachelor’s degree in healthcare administration, health science, public health or related field required.
- Seven (7) or more years’ experience with vendor implementation, contracting, program implementation, or project management, preferably within a health plan or PBM or as a health plan consultant.
Responsibilities
- Responsible for vendor contract management within the scope of the pharmacy department. Direct contracting experience is a must.
- Assists the Director and clinical pharmacists with day-to-day department operations.
- Assists with generating and maintaining reports, NCQA delegation oversight, data analytics, project implementation, audit support, client support, Request for Proposal (RFP) and Request for Rate (RFR) development, and business process improvement.
- Collaborate with the legal department to monitor legislative bills that may affect the pharmacy department and programs and assist with providing relevant pharmacy data, when required.
- Track pharmacy program performance with the assistance of pharmacist lead for the program. Help validate Return on Investments (ROIs) and financial viability of new and existing programs within the pharmacy department or through vendor partners by performing impact analysis for formulary changes, biosimilar switches, programs implementation (pre and post implementation), and rebate performance.
Benefits
- Health insurance (including vision)
- Dental coverage (free to employees)
- Wellness Program
- 401(k) with employer match + automatic employer contribution
- Life Insurance
- Disability Insurance
- Combined time off (CTO) – 20 days per year + 10 paid holidays
- Tuition Reimbursement
- Student Loan Repayment
- Dependent Caregiver Benefits
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What This Job Offers
Job Type
Full-time
Career Level
Manager
