Job Responsibilities
- Benefit Strategy Development: Utilize clinical and analytical data to evaluate product performance and develop strategic pharmacy benefit options tailored to customer needs.
- Pharmacy SME Support: Serve as the pharmacy subject matter expert throughout the development, implementation, and maintenance of drug solutions aligned with enterprise strategy.
- Client-Facing Communication: Prepare and present pharmacy-related information to employer groups, benefit representatives, brokers, and internal account teams to educate on industry trends and recommend solutions.
- Regulatory Collaboration: Partner with enterprise leaders to identify opportunities that meet market needs and comply with state and federal regulatory requirements.
- Cross-Functional Engagement: Collaborate across product, clinical, and operational teams to ensure pharmacy strategies are integrated and responsive to evolving customer and market demands.
- Innovation Leadership: Lead initiatives to evolve benefit strategies and pharmacy offerings in response to emerging trends and client needs.
- Pharmacy Value Demonstration: Leverage pharmacy acumen to articulate the clinical and economic value of pharmacy solutions in support of enterprise growth and retention strategies.
Job Qualifications
Education
- Doctor of Pharmacy (PharmD) required
Experience
- Minimum 8 years Clinical experience required
- Minimum 6 years Practical experience in a managed care environment
Skills\Certifications
- Licensed in Tennessee to practice pharmacy, or eligible for licensure in the state of Tennessee to practice pharmacy
- Ability to develop and execute strategic pharmacy benefit designs
- Expertise in clinical and regulatory compliance for managed care
- Skill in client-facing communication and relationship management
- Strength in cross-functional collaboration for enterprise solutions
- Leadership in driving innovation and evolving pharmacy strategies
Employees who are required to operate either a BCBST-owned vehicle or a personal or rental vehicle for company business on a routine basis* will be automatically enrolled into the BCBST Driver Safety Program. The employee will also be required to adhere to the guidelines set forth through the program. This includes, maintaining a valid driver’s license, auto insurance compliance with minimum liability requirements; as defined in the “Use of Non BCBST-Owned Vehicle” Policy (for employees driving personal or rental vehicles only); and maintaining an acceptable motor vehicle record (MVR). *The definition for "routine basis" is defined as daily, weekly or at regularly schedule times.
Number of Openings Available
1
Worker Type:
Employee
Company:
BCBST BlueCross BlueShield of Tennessee, Inc.
Applying for this job indicates your acknowledgement and understanding of the following statements:
BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law.
Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page:
BCBST's EEO Policies/Notices
BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.
