Strategic Lead, Specialty Pharmacy Networks & Affordability

Blue Cross NC; Oklahoma City (OK); On-site; USD 89,000 - 143,000; Full time

Job summary

Blue Cross and Blue Shield of North Carolina is seeking a senior strategic professional to drive specialty pharmacy network design, contracting strategy, and market-based pricing approaches. The role focuses on affordability, access, and cost reduction while engaging with PBMs, providers, and internal executives.

With 5+ years in related field and a relevant degree, you will analyze market dynamics, develop actionable plans, and translate complex data into strategic recommendations for

Qualifications

• Bachelors or advanced degree required; 5+ years in related field.
• In lieu of degree, 7+ years of experience accepted.

Responsibilities

• Identify, analyze, and implement specialty pharmacy network strategies.
• Develop network optimization, pricing, and reimbursement methodologies.
• Support planning, financial analysis, and business case development.
• Present strategic recommendations to senior leadership.
• Collaborate across departments to advance affordability initiatives.

Skills

Healthcare Consulting

Healthcare Financial Management

Healthcare Industry

Healthcare Strategic Planning

Medical Reimbursement

Project Management

Provider Reimbursement

Education

Bachelor's degree or advanced degree

5+ years experience in related field

Job description

Blue Cross and Blue Shield of North Carolina is seeking a senior strategic professional to drive specialty pharmacy network design, contracting strategy, and market-based pricing approaches. The role focuses on affordability, access, and cost reduction while engaging with PBMs, providers, and internal executives.

With 5+ years in related field and a relevant degree, you will analyze market dynamics, develop actionable plans, and translate complex data into strategic recommendations for