Summary
 

Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than seven decades we’ve been part of the national landscape, 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 that allows us to build on a variety of business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team!

Description
 

Position Purpose:

Support the Director of Pharmacy Administration and Oversight by executing all aspects of the contract management process, including production and oversight of PBM Addenda and Non-Disclosure Agreements, coordination of self-fund group pharmacy audit activities and requests for market check evaluations, and/or activities required to support the contract management and oversight for the Corporate PBM Agreements and/or other Pharmacy Services vendor Agreements. Serve as primary point of contact for pharmacy related legal documents, rate/pricing management and other related needs. Regularly provides feedback and recommendations to Legal, Compliance, Pharmacy Leadership, and senior leadership in the Private Business Division.

What You’ll Do:

• Review, develop, redline, and negotiate Corporate PBM Agreements, Addenda and Amendments, Pharmacy Services vendor Agreements and/or PBM Addenda for self-funded commercial clients across the Enterprise, in cooperation with management, legal, internal stakeholders, and external business partners. Negotiate rates, value adds, service level agreements (SLA) and other legal and business terms.
• Review, develop, redline, and negotiate third-party vendor contracts, including Master Service Agreements (MSA), Statement of Work (SOW), Non-Disclosure Agreements (NDA) and amendments in cooperation with legal, internal stakeholders, and external business partners. Negotiate rates, value adds, service level agreements (SLA) and other legal and business terms.
• Create, implement, and oversee oversight programs to measure on-going compliance with Corporate PBM Agreement, Pharmacy Services vendor Agreements and/or PBM Addenda for self-funded commercial clients across the Enterprise, in cooperation with management, legal, internal stakeholders, and external business partners.
• Coordinates all activities of corporate or self-funded employer PBM proposal development as assigned by management.  Responsible for understanding, and verbally articulating detailed analysis of RFPS, RFIS, RFQS, as well as other documents. Collaborates with Subject Matter Experts (SME), and other staff to create a high quality, winning proposal response.   Coordinates overall proposal process to include intake of customer requests, creating documentation to accompany delegation of required activities to complete proposals, creating and maintaining timeline of activities and packaging the final product for return to customer. May assist with sales support activities such as preparing/giving presentations to prospective customers, etc.
• Partner with Legal, Finance, Books and Contracts and other business units to minimize and mitigate risk. In collaboration with internal stakeholders, develop and lead, key supplier Quarterly Business Review (QBR) process. Ensure compliance with all government regulations and internal policies and procedures.
• Create project plans to ma