Pharmacy Business Segment Analyst

BCBSM, Inc.; Eagan (MN); Hybrid; USD 79,000 - 131,000; Full time

Benefits offered by this job

Medical, dental, and vision insurance

Life insurance

401k

Paid Time Off (PTO)

Volunteer Paid Time Off (VPTO)

And more

Job summary

Blue Cross and Blue Shield of Minnesota is seeking a Pharmacy Technician Specialist to support the Pharmacy Business Segments with clinical, administrative, and operational activities. You will analyze utilization reports, validate data, and collaborate with PBM and cross-functional teams to drive program success.

The role emphasizes data quality, process improvement, and regulatory compliance, with a hybrid work model.

Qualifications

• 5+ years of related health services professional experience.
• Bachelor's degree; in lieu of a degree, an additional two years of relevant experience beyond the qualifications listed above may be accepted.
• Licensure/Certifications: Clear and active Pharmacy Technician license in Minnesota.

Responsibilities

• Provide pharmacy technician expertise across clinical, administrative, and operational activities.
• Analyze pharmacy utilization reports for accuracy and data integrity.
• Collaborate with PBM and cross-functional teams to implement programs and drive improvements.

Skills

Health services experience

Communication skills

Analytical skills

Cross-functional collaboration

Project management

Education

Bachelor's degree

Tools

Microsoft Office Suite

Advanced Excel

Word

Job description

About Blue Cross and Blue Shield of Minnesota

At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. We are looking for dedicated and motivated individuals who share our vision of transforming healthcare. As a Blue Cross associate, you are joining a culture that is built on values of succeeding together, finding a better way, and doing the right thing. If you are ready to make a difference, join us.

The Impact You'll Have

In this positions, you will be responsible for supporting all aspects of the Pharmacy Business Segments by working with the Pharmacy Department to provide hands-on support, consultation, technical and operational expertise. You will work closely with cross functional teams and Pharmacy Benefit Manager (PBM) to support pharmacy initiatives and partner with Business Segments to ensure implementation and execution.

What You'll Do

Support the Pharmacy Business Segments (Self Insured, Fully Insured, and Government Programs), by providing pharmacy technician expertise across clinical, administrative, and operational activities. Conduct and analyze pharmacy utilization reports from business database applications, and validate the data for accuracy and consistency. Engage and collaborate with internal and external business teams in the business planning process. Evaluate and document all current processes and procedures of pharmacy partners. Develop workflows/processes, identify gaps and opportunities for improvement of standard operating procedures, support implementation, and drive continuous improvement in process efficiency and data integrity.

How You'll Do It

Support program development of clinical pharmacy programs; manage databases and develop communications to members and providers. Identify opportunities for improvement and develop recommendations to business based on analysis and auditing of standard PBM reports. Collaborate with PBM and vendor clinical teams to review updates, verify accuracy, and ensure changes are accurately reflected in systems and lists. Support implementation, monitoring, and review of operational workflows for data accuracy and overall efficiency. Perform detailed activities requiring pharmacy technician expertise, and upholding data quality, compliance, and operational readiness. Manage workflows for clinical consultations. Performs additional responsibilities consistent with the scope and level of the role, as assigned.

Required Skills & Experience

5+ years of related health services professional experience. Bachelor's degree; in lieu of a degree, an additional two years of relevant experience beyond the qualifications listed above may be accepted.

Preferred Skills & Experience

Proficient in Microsoft Office Suite, including advanced Excel and Word skills. Ability to communicate complex topics clearly and concisely, actively listen to anticipate stakeholder needs, and align others to drive informed decisions. Ability to analyze complex information, evaluate options, and work cross-functionally to drive resolution and prevent recurrence. Ability to leverage technology to communicate complex topics clearly and concisely, actively listen to anticipate stakeholder needs, analyze complex information, and align others to drive resolution. Ability to effectively organize work, balance competing priorities, and manage time across complex assignments and competing deadlines. Experience and knowledge of pharmacy operations, including PBM, health plan, retail, specialty, or medical pharmacy. Experience in triaging and resolving inquiries associated to claims and benefits. Experience working Commercial, Medicare, and/or Medicaid. Demonstrated project management and strategy development skill set.

Licensure/Certifications Required:

Clear and active Pharmacy Technician license in the state of Minnesota.

Role Designation

Hybrid Role designation definition: Teleworking is working full time remote. Hybrid is a minimum of 2 days onsite. Onsite is full-time onsite.

Anchored in Connection

Our hybrid approach is designed to balance flexibility with meaningful in-person connection and collaboration. We come together in the office two days each week - most teams designate at least one anchor day to ensure team interaction. These in-person moments foster relationships, creativity, and alignment. The rest of the week you are empowered to work remote.

Compensation and Benefits

$79,100.00 - $104,800.00 - $130,500.00 Annual Pay is based on several factors which vary based on position, including skills, ability, and knowledge the selected individual is bringing to the specific job.

We offer a comprehensive benefits package which may include:

• Medical, dental, and vision insurance
• Life insurance
• 401k
• Paid Time Off (PTO)
• Volunteer Paid Time Off (VPTO)
• And more

To discover more about what we have to offer, please review our benefits page.

Equal Employment Opportunity Statement

At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. Blue Cross of Minnesota is an Equal Opportunity Employer and maintains an Aff. All qualified applications will receive consideration for employment without regard to, and will not be discriminated against based on any legally protected characteristic. Individuals with a disability who need a reasonable accommodation in order to apply, please contact us at: [e-mail].

Physical requirements.

Chartered in 1933 as Minnesota's first health plan, this company is one of the most recognized and trusted healthcare brands in the world. It has more members, the largest network of doctors, and more products and services than any other health plan in Minnesota. Headquartered in Eagan, Minnesota.