Advisor, Specialty Pharmacy Network & Affordability

Blue Cross and Blue Shield of North Carolina

Tennessee

On-site

USD 89,000 - 143,000

Full time

14 days+
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Benefits offered by this job

Annual incentive bonus
401(k) with employer match
Paid Time Off (PTO)
Health benefits

Job summary

Blue Cross NC is seeking a senior member of the strategic function to drive pharmacy affordability through specialty network design, contracting strategy, and market-based pricing. You will analyze opportunities, develop cost-reduction strategies, and promote enterprise understanding of specialty pharmacy market dynamics for sustainable affordability improvements.

Responsibilities include leading network optimization, collaborating across departments, and presenting strategies to executive

Qualifications

  • Bachelor's degree or advanced degree (where required).
  • 5+ years of experience in related field.
  • In lieu of degree, 7+ years of experience in related field.

Responsibilities

  • Act as senior member contributing to pharmacy affordability goals.
  • Identify and implement specialty pharmacy network strategies and contracting opportunities.
  • Develop network optimization strategies including pricing methodologies.
  • Support financial and qualitative analysis for contracting decisions and affordability initiatives.
  • Translate market dynamics into strategic recommendations for senior leadership.
  • Present network strategies and impact assessments to executive leadership.
  • Collaborate with other departments as subject matter expert in specialty pharmacy network strategy and affordability solutions.
  • Monitor industry and regulatory trends affecting network performance and costs.
  • Engage with external partners to evaluate opportunities and innovative affordability solutions.
  • Communicate progress and outcomes across the strategy portfolio to support alignment.

Skills

Healthcare Consulting
Healthcare Financial Management
Healthcare Industry
Healthcare Innovation
Healthcare Management
Healthcare Reimbursement
Healthcare Strategic Planning
Health Outcomes
Medical Reimbursement
Performance Metrics
Physician Reimbursement
Project Management
Provider Reimbursement
Reimbursement
Reporting and Analysis

Education

Bachelor's degree
Advanced Degree

Job description

Blue Cross NC is seeking a senior member of the strategic function to drive pharmacy affordability through specialty network design, contracting strategy, and market-based pricing. You will analyze opportunities, develop cost-reduction strategies, and promote enterprise understanding of specialty pharmacy market dynamics for sustainable affordability improvements.

Responsibilities include leading network optimization, collaborating across departments, and presenting strategies to executive

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