Head of Pharmacy Strategy & Performance

Blue Shield of CA; Redding (CA); Hybrid; USD 180,000 - 260,000; Full time

Job summary

Blue Shield of California seeks a Director, Pharmacist - Strategy and Performance to lead enterprise pharmacy strategy across pharmacy and medical benefits. You will manage drug and network contracting, contract performance, and financial outcomes across multiple networks while partnering with executive leaders to maximize value for members and clients.

The role emphasizes leadership development, executive communication, and a culture of continuous learning within a hybrid in-office model in

Qualifications

• Requires active California RPh license.
• PharmD from an accredited U.S. school.
• 10+ years of experience in managed care health plan, pharmacy benefit management, or equivalent.
• 6+ years of people management experience supervising and coaching staff.
• Excellent communication and executive-level presentation experience.
• Knowledge of PBM, formulary, network programs for pharmacy and medical benefits.
• Vendor partnerships, contract operations, negotiations, and performance management preferred.

Responsibilities

• Lead a team to develop and execute enterprise pharmacy strategy across pharmacy and medical benefits.
• Oversee drug and network contracting, contract performance, and financial performance across provider-administered drugs, home infusion, and retail and specialty networks.
• Collaborate with Pharmacy Clinical Leadership, Medical Management, Finance, Actuary, and PBM partners to improve drug trend management and member value.
• Develop and communicate strategy; build and sustain high-performing teams; drive results with integrity and continuous learning.

Education

Doctor of Pharmacy (PharmD)

California Registered Pharmacist (RPh) license

Job description

Blue Shield of California seeks a Director, Pharmacist - Strategy and Performance to lead enterprise pharmacy strategy across pharmacy and medical benefits. You will manage drug and network contracting, contract performance, and financial outcomes across multiple networks while partnering with executive leaders to maximize value for members and clients.

The role emphasizes leadership development, executive communication, and a culture of continuous learning within a hybrid in-office model in