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Manager, Pharmacy Services

Role overview

Qualifications

  • Minimum of 7 years experience in the Healthcare Industry
  • Strong business management experience and financial acumen
  • Knowledge of vendor contracting processes and healthcare project management methodologies
  • 3 years of supervisory/leadership experience

Responsibilities

  • Translate enterprise pharmacy strategy into operational plans and lead execution across assigned business units
  • Foster a high-performing team culture focused on accountability, engagement, and continuous improvement
  • Resolve complex issues and ensure efficient delivery of pharmacy services across multiple functions
  • Establish and monitor KPIs, identify performance gaps, and lead initiatives to improve outcomes and efficiency

Key facts

Other skills

  • Business Administration
  • Financial Acumen
  • Governance
  • Team Leadership
  • Problem Solving
  • Emotional Intelligence

About the company

BlueCross BlueShield of Tennessee logo

BlueCross BlueShield of Tennessee

Health Insurance (Payers)

As Tennessee's largest health plan, we've been helping Tennesseans find their own unique paths to good health for more than 70 years. More than that, we're your neighbors and friends – fellow Tennesseans with deep roots of caring tradition, a focused approach to physical, financial and community good health for today, and a bright outlook for an even healthier tomorrow. Our mission is simple: peace of mind through better health. We're an independent, not-for-profit, locally governed health plan company – meaning we live and work alongside our Tennessee business customers and plan members. Our 6,000 employees across the state have built our strong reputation for integrity, excellent service and community leadership. But we are also part of the BlueCross BlueShield Association, a nationwide association of health care plans. Because of this, our plan members have access to the same quality health benefits while traveling or living out of state that they have while in Tennessee. Β© 2018 BlueCross BlueShield of Tennessee, Inc., an Independent Licensee of the BlueCross BlueShield Association.

Company details

Company typeXLarge
IndustryHealth Insurance (Payers)
Company size5001 - 10000

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Job description

We are hiring a Manager, Pharmacy Business Services at BCBST!

In this role, you will provide leadership across key pharmacy business services functions, helping translate enterprise priorities into effective execution. You will be responsible for overseeing the implementation of enterprise pharmacy initiatives, managing budgets and financial performance, leading a complex portfolio of vendor relationships, and driving contract lifecycle management and governance activities. This position plays a critical role in maintaining strong business oversight, accountability, and organizational alignment while supporting the successful delivery of enterprise pharmacy initiatives, business management functions, and shared services activities across multiple stakeholders. As a people leader, you will lead and develop a team of analysts, fostering collaboration, professional growth, and a culture of accountability and results.

 

Our ideal candidates for this role will have: 

  • Strong business management experience, financial acumen, and a proven ability to drive execution in a complex environment.
  • Knowledge of vendor contracting processes and healthcare project management methodologies.
  • Minimum of 7 years experience in the Healthcare Industry.
  • Experience managing budgets, contracts, vendors, projects, governance processes, and business planning activities.
  • Experience overseeing large vendor portfolios, managing contract lifecycles, driving accountability, facilitating cross-functional initiatives, and leading teams through change will be highly valued.

 

Candidates who can balance strategic priorities with strong business oversight, sound decision-making, and effective execution will thrive in this role.

 

Note:

  • This is a remote, work-from-home position.
  • Final-round interviews will take place on-site at the Chattanooga Office.
  • Sponsorship is not available for this role.

Job Responsibilities

  • Strategic Execution: Translate enterprise pharmacy strategy into operational plans and lead execution across assigned business units.
  • Team Leadership: Foster a high-performing team culture focused on accountability, engagement, and continuous improvement.
  • Escalation Management: Resolve complex issues and ensure efficient delivery of pharmacy services across multiple functions.
  • Performance Management: Establish and monitor KPIs, identify performance gaps, and lead initiatives to improve outcomes and efficiency.
  • Cross-Functional Collaboration: Partner with clinical, finance, IT, and vendor teams to align pharmacy services with broader enterprise initiatives.
  • Audit Readiness: Lead operational readiness for audits and enterprise reviews, ensuring documentation and processes meet quality standards.
  • Compliance Management: Ensure pharmacy business activities meet regulatory and contractual obligations.

Job Qualifications

Education

  • Bachelor’s degree or equivalent work experience required. Equivalent work experience is defined as 4 years of professional work experience.

Experience

  • Minimum 7 years Healthcare Industry experience required
  • 3 years - Supervisory/leadership experience required

Skills\Certifications

  • Ability to execute programs and operational plans
  • Skill in team leadership and talent development
  • Expertise in issue resolution and problem-solving
  • Strong situational awareness and emotional intelligence
  • Capability to collaborate across clinical, finance, and vendor teams

N/A

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.

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Marcus Rivera

Chief Revenue Officer

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