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Pharmacist, Principal

Company: Blue Shield of California
Location: Woodland Hills
Posted on: September 21, 2023

Job Description:

Your Role
The Pharmacy Markets Analytics Product Strategy team leads a cross functional team in the development and implementation of pharmacy services and program strategy and innovation to support profitable membership growth and an affordable drug benefit. - The Principal Pharmacist, Specialty Drug Management will report to the Senior Manager, Pharmacy Services. In this role you will lead the end-to-end specialty drug strategy development with focus on drugs under the outpatient prescription drug benefit. - Potential strategies may include network, clinical, benefit and provider and member directed strategies to attain affordable pharmacy benefits for all lines of business. -
Your Work
In this role, you will:

  • Lead review of medication costs, utilization and finance data to identify opportunities to optimize pharmacy and medical specialty drug performance. -
  • Drive data requirements and cost studies to support opportunity identification and/or demonstrate Blue Shield program value proposition.
  • Provide pharmacy consultations and information as appropriate to support pharmacy product and membership growth initiatives.
  • Lead select initiatives as assigned
  • Support strategic specialty drug initiatives and innovation planning. -
  • Establish, analyze and interpret pharmacy and medical specialty drug claims data to identify unit cost trends and opportunities
  • Manage vendor partners to deliver financial performance per contract and leverage opportunities to enhance BSC COHC when feasible
  • Work cross functionally with internal partners to validate opportunities and support the pharmacy cost management roadmap -
  • Identify and leverage drug trends, competitive intelligence, clinical information, and partnerships to establish and execute specialty drug strategies

    -At Blue Shield of California we are parents, leader, students, visionaries, heroes, and providers. Everyday we come together striving to fulfill our mission, to ensure all Californians have access to high-quality health care at a sustainably affordable price. For more than 80 years, Blue Shield of California has been dedicated to transforming health care by making it more accessible, cost-effective, and customer-centric. We are a not-for-profit, independent member of the Blue Cross Blue Shield Association with 6,800 employees, more than $20 billion in annual revenue and 4.3 million members. The company has contributed more than $500 million to Blue Shield of California Foundation since 2002 to have a positive impact on California communities. Blue Shield of California is headquartered in Oakland, California with 18 additional locations including Sacramento, Los Angeles, and San Diego. We're excited to share Blue Shield of California has received awards and recognition for LGBT diversity, quality improvement, most influential women in corporate America, Bay Area's top companies in volunteering & giving, and one of the world's most ethical companies. Here at Blue Shield of California, we're striving to make a positive change across our industry and the communities we live in , Join us!Your Knowledge and Experience -

    • Requires a Doctor of Pharmacy (PharmD) degree
    • Requires a currently active and unrestricted California Registered Pharmacist (RPh) license
    • Requires at least 4 years of experience in clinical pharmacy
    • Prior experience in pharmacy benefit management operations and demonstrated ability to interpret pharmacy benefit utilization and financial data is required
    • Must be proficient in MS Office, particularly MS Word, Power Point, and Excel
    • Possesses strong business acumen with proven experience in thinking strategically required
    • Strong - data analytic and data management skills with the ability to perform analysis using summarized and/or detail claim information
    • Possesses excellent presentation, verbal, and written skills with ability to understand and convey complex ideas to audience with diverse backgrounds required

      Pay Range:
      The pay range for this role is: $ 145200.00 to $ 217800.00 for California.
      Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles.

Keywords: Blue Shield of California, Los Angeles , Pharmacist, Principal, Healthcare , Woodland Hills, California

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