Senior Director - Pharmacy

BCBSM, Inc.; United States; Hybrid; USD 153,000 - 268,000; Full time

Benefits offered by this job

Medical, dental, and vision insurance

Life insurance

401k

Job summary

Blue Cross and Blue Shield of Minnesota seeks a Senior Director of Pharmacy to lead a high-performing team, evaluate RFP opportunities, and coordinate across pharmacy, sales, and network units to deliver cost-effective, clinically sound solutions.

The role demands 7+ years in health services with 3+ years in management, PharmD or R.Ph., and occasional hybrid onsite work in Minnesota. Competitive compensation and a robust benefits package accompany the position.

Qualifications

• Doctor of Pharmacy (PharmD) or Licensed Pharmacist (R.Ph.) required.
• 7+ years of progressive health services experience with 3+ years of management experience.
• Masters degree in related field preferred.

Responsibilities

• 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.

Skills

Strategic communication

Cross-functional collaboration

Project management

Leadership

Education

PharmD

Registered Pharmacist (R.Ph.)

Masters 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'll 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

• 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

• 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

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

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

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.