Senior Strategy Advisor, Specialty Pharmacy Network

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

Job summary

Blue Cross and Blue Shield of North Carolina is seeking a senior strategist to lead specialty pharmacy network design, contracting, and affordability initiatives in a way that preserves member access. You will evaluate market dynamics, craft optimization and reimbursement approaches, and drive strategic decisions with cross-functional teams.

In collaboration with enterprise partners and external stakeholders, you will present findings to senior leadership and ensure compliant implementation of

Qualifications

• Bachelor's degree or advanced degree required or equivalent experience.
• 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 that support affordability and access.
• Develop network optimization strategies including design, pricing, and reimbursement methods.
• Support financial analyses and business cases for contracting decisions.
• Translate market dynamics into strategic recommendations for senior leadership.
• Present strategies and impact assessments to executives and stakeholders.
• Collaborate with other departments to advance specialty pharmacy initiatives.
• Monitor regulatory and market trends affecting network performance.
• Engage external partners to evaluate opportunities and affordability solutions.
• Communicate progress and outcomes of the network strategy portfolio.
• Drive continuous improvement of network-based solutions.

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

Job description

Blue Cross and Blue Shield of North Carolina is seeking a senior strategist to lead specialty pharmacy network design, contracting, and affordability initiatives in a way that preserves member access. You will evaluate market dynamics, craft optimization and reimbursement approaches, and drive strategic decisions with cross-functional teams.

In collaboration with enterprise partners and external stakeholders, you will present findings to senior leadership and ensure compliant implementation of