Chief Operating Officer, Pharmacy Management
BlueCross BlueShield of South CarolinaAbout the role
Summary
Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina … and much more. We are one of the nation's leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies, allowing us to build on various business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team!
Position Purpose:
As Chief Operating Officer, Pharmacy Management, you will be responsible for the direct leadership and oversight of the Pharmacy management department. Focused on deriving overall pharmacy value with an emphasis on access to high quality, cost efficient therapies, you will need to be capable of leading diverse teams and working in a highly matrixed organization. The Chief Operating Officer, Pharmacy Management leads the development of the pharmacy management strategy – including improving the synergy between medical and pharmacy programs and benefits. In this role, you will translate an integrated pharmacy value story to internal and external stakeholders to increase pharmacy benefit carve-in by self-funded employer groups and optimization of the pharmacy program for all lines of business. Additional responsibilities include improving planning and coordination between all management levels, partnering on the development of innovative pharmacy cost containment efforts, and working collaboratively with senior leaders and numerous internal partners. The Chief Operating Officer, Pharmacy Management sets policy and direction for the Pharmacy area and mitigates challenges.
Description
Location: This position is full-time (40-hours/week) Monday-Friday in a typical office environment. This role is located at 4101 Percival Road, Columbia, SC 29229. Up to 25% travel may be required.
What You’ll Do:
Responsible for developing and overseeing the implementation and success of the Pharmacy Strategic plan and business initiatives.
Contributes to the organization's overall strategy and goals by providing consistent, innovative leadership to the Pharmacy area and ensure interconnected performance with other teams and divisions.
Responsible for leading the Pharmacy Benefit Management (PBM) oversight process and ensuring contractual obligations are being met.
Provides overall leadership, direction and decision-making for the pharmacy drug cost/trend management and quality-improvement strategies.
To Qualify For This Position, You'll Need The Following:
Required Education: Bachelor's degree in a job related field.
Required Experience:
Ten (10) years of practice experience with a health plan’s pharmacy services, managed care pharmacy environment, and / or retail or hospital pharmacy service
Five (5) years of practice experience with pharmacy services and pharmacy benefit management (PBM) contracting for delegated functions and services (can be concurrent with the 10 years above)
Five (5) years of experience managing pharmacy teams or staff (can be concurrent with the 10 years above)
Required Software and Tools: Microsoft Office
Required Skills and Abilities:
Proficient in the principles and practices of managed care pharm
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