Senior Strategy Advisor: Pharmacy Network & Affordability

Habitat For Humanity Of Durham; Durham (NC); On-site; USD 89,000 - 143,000; Full time

Benefits offered by this job

Competitive health benefits

Paid Time Off (PTO)

Annual Incentive Bonus

401(k) with employer match

Job summary

Blue Cross NC is seeking a senior strategic professional to influence specialty pharmacy network design, contracting strategy, and affordability initiatives. You will analyze market dynamics, develop cost-reduction strategies, and collaborate with executives to promote access and regulatory compliance.

The role requires 5+ years of related experience or 7+ years with no degree, and a strong track record in network strategy and reimbursement methodologies.

Qualifications

• Bachelor's degree or advanced degree in a related field.
• 7+ years of experience in related field (or 5+ with a degree).

Responsibilities

• Proactively identify and implement specialty pharmacy network strategies and contracting opportunities.
• Develop network optimization strategies including design, pricing, and reimbursement methodologies.
• Support strategic planning with financial and qualitative analysis for contracting decisions and affordability initiatives.
• Translate complex network dynamics into clear strategic recommendations for senior leadership.
• Present network strategies and affordability opportunities to internal audiences at all levels.

Skills

Healthcare Consulting

Financial Management

Healthcare Industry

Healthcare Innovation

Healthcare Management

Healthcare Reimbursement

Performance Metrics

Project Management

Education

Bachelor's degree

Advanced degree

Job description

Blue Cross NC is seeking a senior strategic professional to influence specialty pharmacy network design, contracting strategy, and affordability initiatives. You will analyze market dynamics, develop cost-reduction strategies, and collaborate with executives to promote access and regulatory compliance.

The role requires 5+ years of related experience or 7+ years with no degree, and a strong track record in network strategy and reimbursement methodologies.