Senior Director - Pharmacy

Blue Cross & Blue Shield of Minnesota; Eagan (MN); Hybrid; USD 153,000 - 268,000; Full time

Benefits offered by this job

Medical, dental, and vision insurance

Life insurance

401k

PTO

Volunteer PTO

And more

Job summary

Blue Cross and Blue Shield of Minnesota seeks a Senior Director of Pharmacy to serve as the strategic liaison between pharmacy, sales and network teams, leading a high‑performing pharmacy group. You will evaluate RFP opportunities, ensure viable, competitive, and cost‑effective solutions, and strengthen partnerships with PBM and network partners.

Hybrid role in Minnesota requiring PharmD or R.Ph., 7+ years in health services with 3+ in management, and extensive experience in pharmacy operations

Qualifications

• Doctor of Pharmacy (PharmD) or Registered Pharmacist (R.Ph.) required.
• 7+ years health services experience with 3+ years in management.
• Pharmacy operations knowledge including PBM, health plan, retail, specialty, or medical pharmacy.
• Experience triaging and resolving inquiries related to claims and benefits.
• Experience with Commercial, Medicare, and/or Medicaid.
• Pharmacy quality measurement knowledge (e.g. Star Ratings, HEDIS).

Responsibilities

• Serve as strategic liaison between pharmacy, sales, and network teams.
• Evaluate pharmacy-related RFPs for viability, profitability, competitiveness, and operational feasibility.
• Develop and evaluate strategies to help groups with total cost of care and push back on unprofitable requests.
• Partner with Sales to shape pharmacy products and solutions for clients and members.
• Lead Network Liaison and solution framework leadership.
• Review analytics and utilization data to guide program performance.
• Deliver group-level reporting of spend, program performance, and impact.

Skills

Strategic leadership

Cross-functional collaboration

Healthcare strategy

Communication

Project management

Analytics

Education

PharmD or R.Ph.

Master’s degree (preferred)

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 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).
• Medication Therapy Management delivery and/or management experience.

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 Affinity Action plan, as required by Minnesota law applicable to state contractors. 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].

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

Physical Requirements