Senior Pharmacist, Specialty Drug Strategy & Access

Blue Shield of CA; Springfield Meadows (CA); Hybrid; USD 180,000 - 240,000; Full time

Job summary

Blue Shield of California’s Cost of Health Care (COHC) & Specialty Drug Management Pharmacy team seeks a Pharmacist, Principal to oversee specialty networks, LDD programs, and biosimilar strategies. This role drives affordability, access, and quality for members within a hybrid in-office model.

Requirements include a PharmD, California RPh license, and 4 years of clinical pharmacy experience, with leadership experience in health plans or PBMs and strong vendor management skills.

Qualifications

• Requires a Doctor of Pharmacy (PharmD) degree from an accredited school of pharmacy in the U.S.
• Requires a current, active, and unrestricted California Registered Pharmacist (RPh) license
• Requires 4 years of experience in clinical pharmacy
• Experience in specialty pharmacy, managed care pharmacy, pharmacy benefit design, specialty networks, LDD programs, and biosimilar strategies
• Prior experience in evaluation of pharmacy program value and performance drivers
• Prior management experience in health plans or pharmacy benefit management companies, with deep knowledge of pharmacy benefit, formulary and network products, program strategies and competitive landscape
• Prior experience in vendor partnership, contract operations, negotiations, and performance management is preferred
• Possesses strong business acumen with proven experience in pharmacy strategy development and planning
• Strong knowledge of specialty drug reimbursement, contracting, distribution models, analytics, and vendor management
• Excellent communication skills with prior experience in presentations to internal and external executive level business stakeholders
• Demonstrated leadership, strategic planning, financial analysis, and cross-functional collaboration skills
• Detail-oriented with the ability to work in a fast-paced environment
• Exhibit "can do" attitude and solution-oriented approach to resolve challenges

Responsibilities

• Oversee specialty pharmacy networks, limited distribution drug access, specialty-at-retail initiatives, direct drug distribution partnerships, and specialty pharmacy programs to improve affordability, access, quality, and member experience.
• Hybrid workplace model with in-office requirements and flexible scheduling between two days per week in the office.

Education

Doctor of Pharmacy (PharmD) degree from an accredited school of pharmacy in the U.S.

Job description

Blue Shield of California’s Cost of Health Care (COHC) & Specialty Drug Management Pharmacy team seeks a Pharmacist, Principal to oversee specialty networks, LDD programs, and biosimilar strategies. This role drives affordability, access, and quality for members within a hybrid in-office model.

Requirements include a PharmD, California RPh license, and 4 years of clinical pharmacy experience, with leadership experience in health plans or PBMs and strong vendor management skills.