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Posted : Wednesday, September 13, 2023 07:59 PM
JOB DESCRIPTION
Your Role
The Pharmacy team provides pharmacy benefit management services and strategies to support Blue Shield affordability and membership goals.
The Sr.
Manager, Pharmacy Growth will report to the Director, Pharmacy Services.
In this role you will support pharmacy membership growth and retention strategies and initiatives.
Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow – personally, professionally, and financially.
We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.
Your Work In this role, you will: Provide oversight for the management of program area operations and employees Be responsible for promotion and execution of overall vision, goals, objectives of the business unit Provide oversight for the coordination of activities of the program area with other business units and monitor operational statistics to ensure all respective accreditation, regulatory and compliance requirements are met Identify performance improvement opportunities to achieve or exceed benchmarks and advise on issues requiring immediate escalation Provide oversight for the development, implementation, coordination, and assessment of programs to improve quality and cost-effectiveness Partner with business unit teams to support planning and develop pharmacy strategies that align with business unit growth and profitability objectives Partner with business unit sales and manage team to develop pharmacy request for proposal (RFP) strategies and responses Partner with underwriting to develop Rx pricing and guarantee strategy approach for self-funded groups to improve competitive position Lead development and maintenance of integrated pharmacy value story to support membership growth and retention Manage team and work cross functionally as needed to manage and resolve client issues, respond to day to day client inquiries and ensure client contract guarantees and deliverables are met Manage team to provide consultative support, and support development of training tools, presentations, sales collaterals on pharmacy product offerings and value proposition as needed to support sales Active participation in client renewals, brokers meetings and finalist presentation as needed to promote pharmacy value proposition Provide marketplace intelligence and client feedback to internal pharmacy teams to influence product and Cost of Health Care strategy development and priority, and support Pharmacy Care Reimagined strategic initiative implementation and product up sell as appropriate QUALIFICATIONS Your Knowledge and Experience Requires a Doctor of Pharmacy (PharmD) degree Requires at least 8 years of experience in a managed care setting, including at least 3 years of management experience or equivalent Requires a currently active and unrestricted California Registered Pharmacist (RPh) license Prior experience in presenting pharmacy program value and observations to clients, brokers, consultants preferred Prior experience in pharmacy benefit client contracting with understanding of contracting tactics and market place requirements preferred Possesses excellent presentation, verbal and written skills with ability to understand and convey complex ideas to audience with diverse backgrounds Possesses strong business acumen with proven experience in strategy development and planning Must be proficient in MS Office, particularly MS Word, PowerPoint, and Excel Salary Range: The pay range for this role is: $ 145,200.
00 to $ 217,800.
00 for California.
Note: 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.
ABOUT US 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! ABOUT THE TEAM Blue Shield of California’s mission is to ensure all Californians have access to high-quality health care at a sustainably affordable price.
We are transforming health care in a way that genuinely serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience.
To fulfill our mission, we must ensure a diverse, equitable, and inclusive environment where all employees can be their authentic selves and fully contribute to meet the needs of the multifaceted communities we serve.
Our continued commitment to diversity, equity, and inclusion upholds our values and advances our goal of creating a healthcare system that is worthy of our family and friends while addressing health disparities, promoting social justice, and integrating health equity through our products, business practices, and presence as a corporate citizen.
Blue Shield has received awards and recognition for being a certified Fortune 100 Best Companies to Work, Military Friendly Employer, People Companies that Care, a Leading Disability Employer, and one of California’s top companies in volunteering and giving.
Here at Blue Shield, we strive to make a positive change across our industry and communities – join us! Our Values: Honest .
We hold ourselves to the highest ethical and integrity standards.
We build trust by doing what we say we're going to do and by acknowledging and correcting where we fall short.
Human .
We strive to be our authentic selves, listening and communicating effectively, and showing empathy towards others by walking in their shoes.
Courageous .
We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals.
Our Workplace Model: Blue Shield of California is dedicated to making work-life balance a reality.
Whether you prefer to work in an office or from home, we understand flexibility is more important than ever.
That’s why Blue Shield is a hybrid company, offering you the opportunity to decide where you can do your best and most meaningful work.
Two ways of working: Hybrid (our default) and office Hybrid – In a business unit approved office a few times per year to 3 days per week, on average Office – In a business unit approved office 4+ days a week, on average.
If the role you’re applying for is deemed an “Essential Role,” the company has determined that the role can only be performed in a Blue Shield office or in the field and would require your to meet the office worker classification.
Physical Requirements: Office Environment - roles involving part to full time schedule in Office Environment.
Due to the current public health emergency in California, Blue Shield employees are almost all working remotely.
Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day.
Equal Employment Opportunity: External hires must pass a background check/drug screen.
Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance.
All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.
The Sr.
Manager, Pharmacy Growth will report to the Director, Pharmacy Services.
In this role you will support pharmacy membership growth and retention strategies and initiatives.
Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow – personally, professionally, and financially.
We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.
Your Work In this role, you will: Provide oversight for the management of program area operations and employees Be responsible for promotion and execution of overall vision, goals, objectives of the business unit Provide oversight for the coordination of activities of the program area with other business units and monitor operational statistics to ensure all respective accreditation, regulatory and compliance requirements are met Identify performance improvement opportunities to achieve or exceed benchmarks and advise on issues requiring immediate escalation Provide oversight for the development, implementation, coordination, and assessment of programs to improve quality and cost-effectiveness Partner with business unit teams to support planning and develop pharmacy strategies that align with business unit growth and profitability objectives Partner with business unit sales and manage team to develop pharmacy request for proposal (RFP) strategies and responses Partner with underwriting to develop Rx pricing and guarantee strategy approach for self-funded groups to improve competitive position Lead development and maintenance of integrated pharmacy value story to support membership growth and retention Manage team and work cross functionally as needed to manage and resolve client issues, respond to day to day client inquiries and ensure client contract guarantees and deliverables are met Manage team to provide consultative support, and support development of training tools, presentations, sales collaterals on pharmacy product offerings and value proposition as needed to support sales Active participation in client renewals, brokers meetings and finalist presentation as needed to promote pharmacy value proposition Provide marketplace intelligence and client feedback to internal pharmacy teams to influence product and Cost of Health Care strategy development and priority, and support Pharmacy Care Reimagined strategic initiative implementation and product up sell as appropriate QUALIFICATIONS Your Knowledge and Experience Requires a Doctor of Pharmacy (PharmD) degree Requires at least 8 years of experience in a managed care setting, including at least 3 years of management experience or equivalent Requires a currently active and unrestricted California Registered Pharmacist (RPh) license Prior experience in presenting pharmacy program value and observations to clients, brokers, consultants preferred Prior experience in pharmacy benefit client contracting with understanding of contracting tactics and market place requirements preferred Possesses excellent presentation, verbal and written skills with ability to understand and convey complex ideas to audience with diverse backgrounds Possesses strong business acumen with proven experience in strategy development and planning Must be proficient in MS Office, particularly MS Word, PowerPoint, and Excel Salary Range: The pay range for this role is: $ 145,200.
00 to $ 217,800.
00 for California.
Note: 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.
ABOUT US 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! ABOUT THE TEAM Blue Shield of California’s mission is to ensure all Californians have access to high-quality health care at a sustainably affordable price.
We are transforming health care in a way that genuinely serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience.
To fulfill our mission, we must ensure a diverse, equitable, and inclusive environment where all employees can be their authentic selves and fully contribute to meet the needs of the multifaceted communities we serve.
Our continued commitment to diversity, equity, and inclusion upholds our values and advances our goal of creating a healthcare system that is worthy of our family and friends while addressing health disparities, promoting social justice, and integrating health equity through our products, business practices, and presence as a corporate citizen.
Blue Shield has received awards and recognition for being a certified Fortune 100 Best Companies to Work, Military Friendly Employer, People Companies that Care, a Leading Disability Employer, and one of California’s top companies in volunteering and giving.
Here at Blue Shield, we strive to make a positive change across our industry and communities – join us! Our Values: Honest .
We hold ourselves to the highest ethical and integrity standards.
We build trust by doing what we say we're going to do and by acknowledging and correcting where we fall short.
Human .
We strive to be our authentic selves, listening and communicating effectively, and showing empathy towards others by walking in their shoes.
Courageous .
We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals.
Our Workplace Model: Blue Shield of California is dedicated to making work-life balance a reality.
Whether you prefer to work in an office or from home, we understand flexibility is more important than ever.
That’s why Blue Shield is a hybrid company, offering you the opportunity to decide where you can do your best and most meaningful work.
Two ways of working: Hybrid (our default) and office Hybrid – In a business unit approved office a few times per year to 3 days per week, on average Office – In a business unit approved office 4+ days a week, on average.
If the role you’re applying for is deemed an “Essential Role,” the company has determined that the role can only be performed in a Blue Shield office or in the field and would require your to meet the office worker classification.
Physical Requirements: Office Environment - roles involving part to full time schedule in Office Environment.
Due to the current public health emergency in California, Blue Shield employees are almost all working remotely.
Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day.
Equal Employment Opportunity: External hires must pass a background check/drug screen.
Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance.
All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.
• Phone : NA
• Location : Oakland, CA
• Post ID: 9005485033
