Pharmacist, Senior

3.3 Blue Shield of California – San Francisco, CA 28 days ago
$165k-$197k(Glassdoor est.)

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Glassdoor Estimated Salary

$86/ hour

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Helping make health care for Californians
easy, accessible and affordable is a great calling. Knowing that
your company has channeled over $100 million back into California
communities and will continue to do so is flat out uplifting.
Join the hardest working, not-for-profit health plan in California and be
part of the solution.

Shield of California is the state’s third largest health plan with more than
  • 4 million members and $10 billion in annual revenue. Our mission is to provide all Californians
with access to high-quality health care at an affordable price. Our values encourage innovation so that we can
be a catalyst for constructive change.

Blue Shield of California (BSC) is
looking for a Sr. Pharmacist, Medicare and Product Strategy for our Pharmacy
Product Strategy and Operations Team to serve as a pharmacy liaison to Medicare
line of business to recommend and implement product and benefit programs to
meet client business objectives and facilitate membership growth. The position
may also support other lines of business as appropriate.

Sr. Pharmacist, Medicare and Product Strategy will report directly to the
Manager, Pharmacy Product Strategy and may be based in our San Francisco, El
Dorado Hills or Woodland Hills office, or may telecommute.

The purpose of the Pharmacy
Product Strategy and Operations team is to lead pharmacy product strategy and
implement competitive and affordable pharmacy benefits to support membership growth
in all market segments.

Pharmacy Product Strategy and Operations accountabilities include:
  • Responsible for the design, development and
launch of new pharmacy products and continuous assessment of current portfolio offerings
and performance.
  • Lead cross functional processes to brainstorm,
influence and recommend pharmacy product
ideas and incorporate into multi-year roadmap
with stakeholders
  • Serve as
pharmacy liaison to support business markets performance and objectives
  • Lead pharmacy
legislation monitoring and assessment, and collaborate with other
pharmacy areas as needed to formulate compliant action plans

Distinguishing Characteristics:
  • Pharmacist
    with pharmacy strategy and pharmacy benefit management/health plan operational
  • Strong understanding
    of Medicare/Exchange markets and pharmacy products.
  • Works independently and collaboratively with multi-disciplinary
    teams with minimal oversight and direction from the manager.
Essential Job duties and responsibilities

The Sr. Pharmacist, Medicare and Product
Manager is responsible for the overall coordination and leadership of pharmacy
benefits and products for Medicare line of business. As a primary pharmacy
business contact, the pharmacist recommends and implements programs and
strategies to meet Medicare client objectives and build strong relationships
with key stakeholders through consultative services. The position may also
support other lines of business as appropriate.
Key responsibilities include:

· -Understand
business drivers and competitive market landscape for individual and group
Medicare lines of business

· -Provide
consultation and recommendations to Medicare stakeholders regarding pharmacy
program and benefit change opportunities

· -Active
participation in Medicare business meetings to understand business trends and
drivers, support strategy development and provide pharmacy updates as needed

· -
with key pharmacy partners (e.g. formulary, clinical, analytics) to identify,
evaluate and implement product and management opportunities to support annual
bid renewal and go to market

· -Provide
support to group Medicare client renewal and new sales, including RFP support
and product strategy

· -Provide
support in the evaluation, assessment and implementation of pharmacy mandates

duties as assigned

Education and minimum Experience Level:
· Pharm.D. degree and 3 or more years of health plan or PBM operational experience required
· Prior experience in pharmacy benefit management for Medicare, Medicaid or Commercial membership preferred
· Experience in pharmacy benefit implementation with cross-functional teams preferred
· Good business acumen with demonstrated ability to interpret pharmacy trend and performance indicators
· Ability to work in a matrix environment and interpret business information to formulate strategic recommendations
· General familiarity with regulatory processes and guidelines governing health insurance products
· Currently active unrestricted California Registered Pharmacist (R.Ph.) license

Additional Education/Experience:
  • Possesses excellent verbal and written skills with ability to
convey and understand complex ideas
  • Must be proficient in MS Office, particularly MS Word, PowerPoint,
and Excel
  • Detail-oriented with the ability to work in a fast paced
  • Exhibits “can do” attitude and solution-oriented approach to
resolve challenges
  • Able to work independently with minimum direction or supervision
Possesses strong collaboration and partnership skills in a matrix work
Possesses strong business acumen with proven experience in thinking
Produces accurate work under tight deadlines
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