Sr. Director, Pharmacy - Prior Authorization & Call Center

Blue Shield of California•Oakland, CA

7d•Hybrid

About The Position

The Blue Shield of California (BSC) Pharmacy team is 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 Prior Authorization and Call Center will report to the Senior Vice President of Pharmacy Services at BSC. In this role you will manage a team of over 200 employees and in collaboration with the Medical Director, be responsible for designing, executing, and optimizing prior authorization and call center processes to ensure clinically appropriate, cost effective, and compliant patient care. You will work cross functionally and partner with vendors as appropriate to optimize patient access while supporting affordability of medications covered under pharmacy and medical benefits for all lines of businesses. 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

Experience in designing, executing, and optimizing prior authorization and call center processes
Experience managing a large team (over 200 employees)
Experience collaborating with medical directors
Experience working cross-functionally
Experience partnering with vendors
Experience optimizing patient access
Experience supporting medication affordability
Creative and critical thinking skills
Ability to build and sustain high-performing teams
Ability to get results the right way
Ability to foster continuous learning

Responsibilities

Designing, executing, and optimizing prior authorization and call center processes
Managing a team of over 200 employees
Collaborating with the Medical Director
Working cross functionally and partnering with vendors
Optimizing patient access while supporting affordability of medications