Senior Director - Pharmacy

Blue Cross and Blue Shield of Minnesota

Eagan (MN)

Hybrid

USD 153,000 - 268,000

Full time

8 days ago

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Benefits offered by this job

Medical, dental, and vision insurance
401k
PTO
VPTO
Life insurance

Job summary

Blue Cross and Blue Shield of Minnesota seeks a Senior Director of Pharmacy to lead a high‑performing team and act as the strategic liaison among pharmacy, sales, and network groups. The role focuses on evaluating RFP opportunities and ensuring viable, profitable, and clinically sound pharmacy solutions.

The role emphasizes partnering with PBM, analytics, and operations to optimize program performance and control total cost of care in a hybrid work environment.

Qualifications

  • Pharmacist leadership experience and program management.
  • 3+ years of management experience in health services.
  • Experience with pharmacy operations, PBM, and cost-containment strategies.

Responsibilities

  • Serve as strategic liaison between pharmacy, sales, and network teams.
  • Evaluate pharmacy-related RFPs for viability, profitability, and operational feasibility.
  • Develop strategies to reduce total cost of care while maintaining service quality.
  • Partner with Sales to shape pharmacy products and solutions for clients and members.
  • Lead pharmacy program leadership and develop benefit strategies to manage costs.

Skills

Pharmacy leadership
RFP strategy
Stakeholder management
Analytical thinking

Education

PharmD or R.Ph. degree

Job description

About Blue Cross And Blue Shield Of Minnesota

The Impact You Will Have

The Senior Director of Pharmacy serves as BCBSMN’s primary strategic liaison between pharmacy, sales, and network teams while leading and developing a high-performing pharmacy team. This role is responsible for evaluating pharmacy‑related RFP opportunities, ensuring proposed solutions are viable, competitive, profitable, and operationally realistic. The position also leads pharmacy engagement with network partners, establishing solution frameworks, reviewing analytics, and collaborating with P&L owners to proactively manage performance. This leader ensures BCBSMN delivers clinically sound, cost‑effective, and market‑responsive pharmacy and specialty benefit solutions while strengthening relationships across sales, network, operations, and our PBM partner.

What You’ll Do
  • Sales Liaison & RFP Strategy.
  • Evaluate pharmacy‑related RFPs for viability, profitability, competitiveness, and operational feasibility.
  • Develop and evaluate strategies for groups to help with total cost of care. Provide recommendations and push back on unrealistic, unprofitable, or non‑aligned request elements.
  • Partner with Sales to shape pharmacy product & solutions that align with client and member needs, support client‑facing discussions, and finalist presentations.
  • Network Liaison & Solution Framework Leadership.
How You’ll Do It
  • Collaborating with Network and P&L owners to design and implement programs and solutions that align pharmacy and provider strategies.
  • Reviewing analytics and utilization data to guide solution(s) performance supporting total cost of care goals.
  • Proactively managing solution performance and coordinate with Network, Analytics, PBM, and operational teams to optimize results.
  • Assemble and deliver group level reporting of plan spend, program performance, and impact analysis of proposed programs and solutions.
  • Pharmacy Program Leadership
  • Developing and implementing pharmacy and specialty benefit strategies that manage cost and improve member and provider experiences.
  • Monitoring industry trends and driving innovation in pharmacy services, benefit design, and operational effectiveness.
  • Performs additional responsibilities consistent with the scope and level of the role, as assigned.
Required Skills & Experience
  • 7+ years of progressive health services experience with 3+ years of management experience.
  • Doctor of Pharmacy (PharmD) or Registered Pharmacist (R.Ph.) degree.
Preferred Skills & Experience
  • Masters degree in related field
  • Ability to communicate strategic direction across departments, actively listen to address organizational challenges, and align leaders and stakeholders through clear and actionable guidance.
  • Ability to analyze cross-functional impacts, set clear priorities, and guide leaders to resolve high-impact challenges and improve outcomes.
  • Ability to communicate strategic direction, listen to address challenges, utilize technology to analyze cross-functional impacts, and aligns stakeholders to drive prioritized, high-impact solutions.
  • Ability to effectively organize work, balance cross-functional priorities, and manage team capacity across initiatives to support business objectives.
  • 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.
  • Experience working with members/clients/patients on the phone.
  • Demonstrated project management and strategy development skill set.
  • Pharmacy quality measurement knowledge (e.g. Star Ratings, HEDIS).
Licensure/Certifications

Required
Pharmacist License - State Pharmacy Licensing Board

Role Designation

Hybrid

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

Pay Range: $152,900.00 - $210,300.00 - $267,700.00 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 Affine… 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: talent.acquisition@bluecrossmn.com.

Blue Cross® and Blue Shield® of Minnesota and Blue Plus® are nonprofit independent licensees of the Blue Cross and Blue Shield Association.

Physical Requirements
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