Director, Pharmacy - Drug Quality Program

Blue Shield of CA; Rancho Cordova (CA); Hybrid; USD 180,000 - 240,000; Full time

Job summary

Blue Shield of CA is seeking a Director, Pharmacist - Drug Quality Program within the Pharmacy Strategy & Operations department. You will lead initiatives to improve quality measures, safety, health outcomes, and member access to medications, while shaping policy and program development.

The role emphasizes advanced analytics, cross-functional collaboration, and leadership development, with a hybrid work model to balance in-person collaboration and flexibility for blue shield of california

Qualifications

• PharmD degree from an accredited U.S. school
• Active California Pharmacist license
• Minimum 10 years of relevant experience
• Minimum 6 years of people-management experience
• Knowledge of national and CA quality rating systems and accreditation standards
• Excellent written and verbal communication
• Advanced clinical pharmacy practice with managed care or health plan pharmacy experience
• Advanced data analytics using pharmacy claims data and KPI design
• Proficient in Microsoft applications

Skills

Leadership

People management

Data analytics

Clinical pharmacy

Managed care

Communication

Education

PharmD degree

California Pharmacist license

Job description

Your Role

The Clinical Pharmacy Programs team within the Pharmacy Strategy & Operations department is a team of pharmacy professionals responsible for defining and executing strategies to address clinical quality and affordability of prescription medications used by Blue Shield of California (BSC) members. The Director, Pharmacist - Drug Quality Program, will report to the Senior Director, Clinical Pharmacy Programs. In this role, you will be responsible for performance on quality measures that address medication-related safety, health outcomes, and member experience related to accessing needed prescription drugs.

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.

Your Knowledge and Experience

• Requires Doctor of Pharmacy (PharmD) degree from an accredited school of pharmacy in the U.S.
• Requires a current active and unrestricted California Registered Pharmacist (RPH) license
• Requires 10 years of prior relevant experience
• Requires 6 years of prior people management experience with direct responsibility for supervising, coaching, and evaluating direct reports
• Knowledge of national and California state quality rating systems; and applicable state, federal, and quality accreditation standards
• Excellent written and verbal communication skills
• Advanced clinical pharmacy practice and experience in managed care or health plan pharmacy business functions
• Advanced proficiency in data analytics, including use of pharmacy claims data, and designing key performance metrics
• Advanced proficiency in computer skills including but not limited to Microsoft applications

Hybrid

This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into the office two days each week.
Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need.