Senior Strategy Advisor, Specialty Pharmacy & Affordability

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

Job summary

Blue Cross NC is a leading health plan provider seeking a senior member of our strategic function focused on specialty pharmacy network design, contracting strategy, and affordability improvements. You will evaluate market opportunities and develop network-based cost-reduction initiatives while ensuring member access and regulatory compliance.

You will present recommendations to senior leadership, collaborate across departments, monitor industry trends, and engage external partners to advance

Qualifications

• Bachelor's degree or advanced degree required.
• 5+ years of related field experience.
• In lieu of degree, 7+ years of related field experience.

Responsibilities

• Identify and implement specialty pharmacy network strategies and contracting opportunities.
• Develop network optimization strategies including pricing and reimbursement methodologies.
• Support financial analysis, business case development, and network evaluations.
• Translate market dynamics into strategic recommendations for senior leadership.
• Present network strategies and impact assessments to executives.
• Collaborate with other departments as subject matter expert in network strategy.
• Monitor industry and regulatory trends affecting network performance and costs.
• Engage with external partners to evaluate opportunities and affordability solutions.
• Communicate progress and outcomes across the portfolio to stakeholders.

Skills

Healthcare Consulting

Healthcare Financial Management

Healthcare Industry

Healthcare Innovation

Healthcare Management

Healthcare Reimbursement

Healthcare Strategic Planning

Health Outcomes

Medical Reimbursement

Performance Metrics

Physician Reimbursement

Project Management

Provider Reimbursement

Reimbursement

Reporting and Analysis

Education

Bachelor's degree or advanced degree

7+ years of related field experience (in lieu of degree)

Job description

Blue Cross NC is a leading health plan provider seeking a senior member of our strategic function focused on specialty pharmacy network design, contracting strategy, and affordability improvements. You will evaluate market opportunities and develop network-based cost-reduction initiatives while ensuring member access and regulatory compliance.

You will present recommendations to senior leadership, collaborate across departments, monitor industry trends, and engage external partners to advance