Senior Pharmacy Network Strategy Leader

Blue Cross NC; North Carolina; On-site; USD 89,000 - 143,000; Full time

Benefits offered by this job

Annual Incentive Bonus

401(k) match

Paid Time Off (PTO)

Health benefits

Job summary

Blue Cross NC is hiring a senior specialist to lead specialty pharmacy network design, contracting strategy, and affordability initiatives. You will evaluate market opportunities, develop cost-saving approaches, and collaborate with executives to deliver sustainable value for members and providers.

The role emphasizes strategic planning, cross-department collaboration, and ongoing monitoring of industry trends to optimize network performance and cost management.

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.

Responsibilities

• Identify and implement specialty pharmacy network strategies and contracting opportunities that support affordability while maintaining access and compliance.
• Develop network optimization strategies including design, performance management, and cost-based reimbursement methodologies.
• Support strategic planning with financial and qualitative analyses and business case development.
• Translate network and market dynamics into clear strategic recommendations for stakeholders.
• Present strategies and impact assessments to executive leadership and internal audiences.

Skills

Specialty pharmacy

Network design

Contracting strategy

Market analysis

Cost reduction

Stakeholder communication

Presenting to leadership

Project management

Reimbursement models

Performance metrics

Collaboration

Education

Bachelor's degree

Advanced degree

7+ years experience in related field

Job description

Blue Cross NC is hiring a senior specialist to lead specialty pharmacy network design, contracting strategy, and affordability initiatives. You will evaluate market opportunities, develop cost-saving approaches, and collaborate with executives to deliver sustainable value for members and providers.

The role emphasizes strategic planning, cross-department collaboration, and ongoing monitoring of industry trends to optimize network performance and cost management.