New

Chief Operating Officer, Pharmacy Management

BlueCross BlueShield of South Carolina
life insurance, paid time off, 401(k)
United States, South Carolina, Columbia
Apr 03, 2025
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 pharmacy. Broad based knowledge in a variety of pharmacy disciplines. Knowledge of Medicare and Medicaid regulations and guidelines regarding pharmacy benefits, coverage determinations, network management, and performance metrics. Knowledge of contract negotiations and drivers of drug spending / funding. Knowledge of pharmacy benefit marketplace. Knowledge of health plan pharmacy operations and PBM operations, functionality, and capabilities. Demonstrated experience with integration of pharmacy management with clinical operations. Highly organized and process driven. We Prefer That You Have The Following: PharmD or Master's Degree in Finance, Accounting, or Economics. 10+ years of practice experience with a health plan pharmacy services, managed care pharmacy environment, and / or retail or hospital pharmacy service. Experience with financial aspects of pharmacy agreements including underwriting and structuring of deals. Eight (8) 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) Eight (8) years of experience managing pharmacy teams or staff (can be concurrent with the 10 years above) Executive level presentation skills Our Comprehensive Benefits Package Includes The Following: We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment. Subsidized health plans, dental and vision coverage 401k retirement savings plan with company match Life Insurance Paid Time Off (PTO) On-site cafeterias and fitness centers in major locations Education Assistance Service Recognition National discounts to movies, theaters, zoos, theme parks and more What We Can Do for You: We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company. What To Expect Next: After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Some states have required notifications. Here's more information. Equal Employment Opportunity Statement BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains Affirmative Action programs to promote employment opportunities for minorities, females, disabled individuals and veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need special assistance or an accommodation while seeking employment, please e-mail mycareer.help@bcbssc.com or call 1-800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.