Manager, Pharmacist

Blue Shield of California; Rancho Cordova (CA); Hybrid; USD 130,000 - 170,000; Full time

Job summary

Blue Shield of California is seeking a Manager, Pharmacist to lead the Clinical Pharmacy Programs team. The role focuses on developing, implementing, coordinating, and assessing pharmacy programs that improve member health while optimizing costs.

You will partner with internal and external stakeholders to advance population health outcomes. The position requires a California-licensed pharmacist, PharmD, and several years in managed care, with at least two years of people leadership.

Qualifications

• Active California RPh license required.
• PharmD from accredited US school.
• 7+ years in managed care setting.
• 2+ years people management experience.
• Excellent oral and written communication skills.
• Strong project/program management and analytics.
• Thorough clinical pharmacotherapy knowledge.

Responsibilities

• Manage daily operations and employee development within the program area.
• Develop and assess pharmacy programs to improve quality and cost-effectiveness.
• Analyze prescription drug and medical claims data to identify improvements.
• Develop proposals for opportunities and support implementation.
• Monitor data and report program outcomes to stakeholders.
• Serve as pharmacy SME and manage external relationships.
• Perform other duties as needed.

Skills

Pharmacist license

Managed care experience

People management

Communication skills

Project management

Clinical knowledge

Education

Doctor of Pharmacy (PharmD)

Job description

Job Description

Your Role

The Clinical Pharmacy Programs team is responsible for the development, implementation, coordination, and assessment of pharmacy programs addressing medication therapy issues of Blue Shield of California members to improve quality and cost-effectiveness. The Manager, Pharmacist will report to the Pharmacist Senior Manager, Clinical Pharmacy Operations. In this role you will work with internal and external stakeholders to achieve shared goals and objectives that enhance BSC member and population health outcomes while optimizing healthcare resources, ensuring that members have access to pharmaceuticals they need, and that the medications they take are improving health and cost effective.

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.

Responsibilities

Your Work

In this role, you will:

• Responsible for managing daily operations and employees of the program area. Provides training, training opportunities, mentoring and coaching for direct reports
• Responsible for the development, implementation, coordination and assessment of programs addressing medication therapy issues of Blue Shield of California members to improve quality and cost-effectiveness
• Develops and analyzes prescription drug and medical claims data to identify opportunities to improve quality and cost of healthcare
• Develops project proposals for identified opportunities and supports implementation.
• Regularly monitors program data and metrics to evaluate program effectiveness and outcomes; reports to appropriate committees, managers, and other internal or external stakeholders
• Serve as a Pharmacy contact and subject matter expert to stakeholders, and manage external relationships (vendors, clients) related to assigned work
• Perform other duties as needed

Qualifications

Your Knowledge and Experience

• Requires a currently active and unrestricted California Registered Pharmacist (RPh) license
• Requires a Doctor of Pharmacy (PharmD) degree from an accredited school of pharmacy in the U.S
• Requires 7 years of experience in a managed care setting
• Requires 2 years of people management experience gained as a team leader, supervisor, project/program manager, or manager of contingent workers
• Requires excellent oral and written communication skills
• Requires strong project/program management, analytic, and critical thinking skills
• Requires thorough clinical knowledge of the therapeutic use of drugs

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.

About the Team

About Blue Shield of California

As of January 2025, Blue Shield of California became a subsidiary of Ascendiun. Ascendiun is a nonprofit corporate entity that is the parent to a family of organizations including Blue Shield of California and its subsidiary, Blue Shield of California Promise Health Plan; Altais, a clinical services company; and Stellarus, a company designed to scale healthcare solutions. Together, these organizations are referred to as the Ascendiun Family of Companies.

At Blue Shield of California, our mission is to create a healthcare system worthy of our family and friends and sustainably affordable. We are transforming health care in a way that genuinely serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience.

To achieve our mission, we foster an environment where all employees can thrive and contribute fully to address the needs of the various communities we serve. We are committed to creating and maintaining a supportive workplace that upholds our values and advances our goals.

Blue Shield is a U.S. News Best Company to work for, a Deloitte U.S. Best Managed Company and a Top 100 Inspiring Workplace. We were recognized by Fair360 as a Top Regional Company, and one of the 50 most community-minded companies in the United States by Points of Light. Here at Blue Shield, we strive to make a positive change across our industry and communities - join us!

Our Values:

• Honest. We hold ourselves to the highest ethical and integrity standards. We build trust by doing what we say we're going to do and by acknowledging and correcting where we fall short.
• Human. We strive to listen and communicate effectively, showing empathy by understanding others' perspectives.
• Courageous. We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals.

Our Workplace Model

We believe in fostering a workplace environment that balances purposeful in-person collaboration with flexibility - providing clear expectations while respecting the diverse needs of our workforce. Our workplace model is designed around intentional in-person interaction, collaboration, connection, creativity and flexibility:

• For most teams, this means coming into the office two days per week.
• Employees living more than 50 miles from an office location, out of state employees, and employees in certain member-facing roles should work with their manager to determine in-office time based on business need.
• For employees with medical conditions that may impact their ability to work in-office, we are committed to engaging in an interactive process and providing reasonable accommodations to ensure their work environment is conducive to their success and well-being.

The Company reserves the right to require more presence in the office based on business needs, and requirements are subject to change with periodic reviews.

Physical Requirements:

Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day.

Please click here for further physical requirement detail.

Equal Employment Opportunity:

External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.