Senior Pharmacy Network Strategy Advisor

Blue Cross and Blue Shield of North Carolina; Northern (KY); Hybrid; USD 89,000 - 143,000; Full time

Benefits offered by this job

Annual Incentive Bonus

401(k) with employer match

Paid Time Off

Job summary

Blue Cross NC seeks a senior member of the strategic function to advance specialty pharmacy network design, contracting strategy, and affordability initiatives. The role analyzes market opportunities, optimizes networks, and develops cost-reduction strategies while ensuring member access and regulatory compliance.

You will present strategic recommendations to senior leadership, collaborate across departments, monitor regulatory and market trends, and drive affordable solutions with external

Qualifications

• Bachelor's degree or advanced degree (where required)
• 5+ years of experience in related field
• In lieu of degree, 7+ years of experience in related field

Skills

Healthcare consulting

Financial management

Healthcare industry

Healthcare management

Healthcare reimbursement

Performance metrics

Provider reimbursement

Project management

Reimbursement

Healthcare strategic planning

Health outcomes

Education

Bachelor's degree

Job description

Blue Cross NC seeks a senior member of the strategic function to advance specialty pharmacy network design, contracting strategy, and affordability initiatives. The role analyzes market opportunities, optimizes networks, and develops cost-reduction strategies while ensuring member access and regulatory compliance.

You will present strategic recommendations to senior leadership, collaborate across departments, monitor regulatory and market trends, and drive affordable solutions with external