Senior Strategic Architect — Specialty Pharmacy Networks

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

Job summary

Blue Cross NC is seeking a senior strategist to lead specialty pharmacy network design and contracting, driving affordability and access for members.

The role involves shaping network optimization, developing market-based pricing approaches, evaluating opportunities, and presenting strategic recommendations to senior leadership while coordinating with internal partners to advance affordability initiatives.

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 and market-based reimbursement methodologies.
• Support financial and qualitative analysis, business case development, and network evaluations.

Skills

Specialty pharmacy network strategy

Contracting strategy

Network optimization

Cost reduction

Reimbursement methodologies

Stakeholder communication

Education

Bachelor's degree or advanced degree

Experience in related field (5+ years)

Job description

Blue Cross NC is seeking a senior strategist to lead specialty pharmacy network design and contracting, driving affordability and access for members.

The role involves shaping network optimization, developing market-based pricing approaches, evaluating opportunities, and presenting strategic recommendations to senior leadership while coordinating with internal partners to advance affordability initiatives.