Senior Director, Pharmacy Strategy, Analytics and Performance

Blue Shield of California • Woodland Hills, CA

1d • Hybrid

About The Position

The Blue Shield of California (BSC) Pharmacy team comprises of over 350 dedicated professionals who are passionate about making a meaningful impact by reimagining pharmacy care. Ensuring every member has safe, equitable access to sustainably affordable pharmacy benefits is at the heart of everything we do. The Senior Director, Pharmacy Strategy, Analytics and Performance will report to the Vice President of Pharmacy Services at BSC. In this role you will manage annual pharmacy drug cost spend of over $5 billion and lead a team comprised of Pharmacists, Program Managers, Data Analysts, etc. You will work cross functionally and partner with vendors as appropriate to develop end to end strategies and differentiating solutions to manage escalating pharmaceutical costs in both pharmacy and medical benefits for Commercial and Medicare. Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow – personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.

Requirements

• Requires a currently active and unrestricted California Registered Pharmacist (RPh) license
• Requires a Doctorate of Pharmacy (PharmD) degree from an accredited school of Pharmacy in the United States
• Requires 12 years prior relevant experience
• Requires 6 years of management experience
• Thorough knowledge regarding therapeutic use of drugs
• Prior management experience in health plans or pharmacy benefit management companies, with deep knowledge of pharmacy benefit, formulary and network products, program strategies and competitive landscape
• Prior experience in evaluation of pharmacy program value and performance drivers
• Prior experience in vendor partnership, contract operations, negotiations, and performance management
• Strong business acumen with proven experience in pharmacy strategy development and planning
• Excellent presentation, verbal and written skills with ability to understand and convey complex ideas to audience with diverse backgrounds
• Excellent communication skills with prior experience in presentations to internal and external executive level business stakeholders

Responsibilities

• Lead development and implementation of cost of health care initiative roadmap to meet trend and financial targets for Commercial and Medicare lines of business
• Partner with finance/actuary teams to provide pharmacy insights to support pharmacy trend forecast and pricing
• Drive financial performance of key initiatives such as Pharmacy Care Reimagined and biosimilars, and negotiate with vendors to improve performance as needed
• Evaluate vendor driven solutions and partnership opportunities and support contract development and negotiation
• Provide oversight and direct management of select vendor contract and outcomes
• Serve as liaison to pharmacy informatics team to provide oversight and help shape analytic methods and reporting solutions to support financial and operational performance monitoring and return on investment evaluation
• Build a high performing team and foster a great workplace to do meaningful work

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Education Level: Ph.D. or professional degree
• Number of Employees: 1-10 employees