Senior Strategic Advisor, Specialty Pharmacy Networks

Blue Cross and Blue Shield of North Carolina; Nashville (TN); On-site; USD 89,000 - 143,000; Full time

Job summary

Blue Cross NC seeks a senior member of the strategic function to drive specialty pharmacy network design, contracting strategy, and affordability improvements. The role leverages industry experience to evaluate market opportunities, develop network-based cost-reduction strategies, and promote enterprise understanding of specialty pharmacy dynamics for competitive advantage.

Responsibilities include developing network optimization strategies, supporting financial analyses for contracting, and

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.
• Develop network optimization strategies including pricing approaches and reimbursement methodologies.
• Support financial and qualitative analysis for contracting decisions and affordability initiatives.
• Translate market dynamics into actionable plans for senior leadership.

Skills

Healthcare consulting

Strategy development

Project management

Communication

Healthcare economics

Reimbursement knowledge

Data analysis

Education

Bachelor's degree

Advanced degree (optional)

Job description

Blue Cross NC seeks a senior member of the strategic function to drive specialty pharmacy network design, contracting strategy, and affordability improvements. The role leverages industry experience to evaluate market opportunities, develop network-based cost-reduction strategies, and promote enterprise understanding of specialty pharmacy dynamics for competitive advantage.

Responsibilities include developing network optimization strategies, supporting financial analyses for contracting, and