Director, Pharmacy Strategy & Value Realization

Blue Shield of California; California; Hybrid; USD 182,000 - 273,000; Full time

Job summary

Blue Shield of California is seeking a Director, Pharmacist - Strategy and Performance to lead enterprise pharmacy strategy across pharmacy and medical benefits, overseeing drug contracting, performance and financial outcomes. You will partner with Pharmacy Clinical Leadership, Medical Management, Finance, Actuary, PBM partners and providers to drive drug trend management and maximize member value.

This role emphasizes leadership, analytical rigor, and cross-functional collaboration, with a

Qualifications

• Active and unrestricted California RPh license.
• PharmD from an accredited US school.
• 10+ years in managed care / PBM or related setting.
• 6+ years in people management with direct reports.
• Strong communication for executive stakeholders.

Responsibilities

• Lead development and execution of pharmacy affordability and value-based strategies across pharma and medical drug spend.
• Oversee drug contracting, rebate and outcomes-based arrangements, and contract performance.
• Design reimbursement and site-of-care strategies for cost-effective care.
• Monitor network performance and evaluate new drug distribution models.
• Present analyses and strategic recommendations to senior leadership.

Skills

RPh license

Leadership experience

Pharmacy benefits knowledge

Strategy & planning

Executive presentation skills

Education

PharmD degree (US)

Job description

Blue Shield of California is seeking a Director, Pharmacist - Strategy and Performance to lead enterprise pharmacy strategy across pharmacy and medical benefits, overseeing drug contracting, performance and financial outcomes. You will partner with Pharmacy Clinical Leadership, Medical Management, Finance, Actuary, PBM partners and providers to drive drug trend management and maximize member value.

This role emphasizes leadership, analytical rigor, and cross-functional collaboration, with a