Senior Pharmacy Strategy Leader - Network & Affordability

Blue Cross and Blue Shield of North Carolina

Alabama

On-site

USD 89,000 - 143,000

Full time

14 days+

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Job summary

Blue Cross NC in the United States seeks a senior strategist to advance specialty pharmacy network design, contracting, and market-based pricing to enhance affordability while protecting member access and provider relations.

You will analyze industry trends, develop cost-reduction strategies, and translate complex market dynamics into actionable plans for senior leadership and cross-functional stakeholders.

Qualifications

Bachelor's degree or advanced degree in related field.
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, reimbursement models, and contracting opportunities.
Develop and execute specialty pharmacy network optimization strategies and market-based reimbursement methodologies.
Support strategic planning, financial and qualitative analysis, and business case development.
Translate complex network dynamics into clear strategic recommendations for senior leadership.
Present network strategies and opportunities to executive leadership.
Collaborate with other departments on affordability solutions and industry trends.

Skills

Healthcare Consulting

Healthcare Financial Management

Healthcare Industry

Healthcare Innovation

Healthcare Management

Project Management

Reporting & Analysis

Reimbursement

Provider Reimbursement

Education

Bachelor's degree

Advanced degree

Job description

You will analyze industry trends, develop cost-reduction strategies, and translate complex market dynamics into actionable plans for senior leadership and cross-functional stakeholders.

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