Senior Director, Pharmacy Strategy, Analytics and Performance

Your Role

The Blue Shield of California (BSC) Pharmacy team comprises of over 350 dedicated professionals who are passionate about making a meaningful impact by reimagining pharmacy care. Ensuring every member has safe, equitable access to sustainably affordable pharmacy benefits is at the heart of everything we do. The Senior Director, Pharmacy Strategy, Analytics and Performance will report to the Vice President of Pharmacy Services at BSC. In this role you will manage annual pharmacy drug cost spend of over $5 billion and lead a team comprised of Pharmacists, Program Managers, Data Analysts, etc. You will work cross functionally and partner with vendors as appropriate to develop end to end strategies and differentiating solutions to manage escalating pharmaceutical costs in both pharmacy and medical benefits for Commercial and Medicare.

Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow – personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.

Your Work
In this role, you will:

• Lead development and implementation of cost of health care initiative roadmap to meet trend and financial targets for Commercial and Medicare lines of business
• Partner with finance/actuary teams to provide pharmacy insights to support pharmacy trend forecast and pricing
• Drive financial performance of key initiatives such as Pharmacy Care Reimagined and biosimilars, and negotiate with vendors to improve performance as needed
• Evaluate vendor driven solutions and partnership opportunities and support contract development and negotiation
• Provide oversight and direct management of select vendor contract and outcomes
• Serve as liaison to pharmacy informatics team to provide oversight and help shape analytic methods and reporting solutions to support financial and operational performance monitoring and return on investment evaluation
• Build a high performing team and foster a great workplace to do meaningful work

Your Knowledge and Experience

• Requires a currently active and unrestricted California Registered Pharmacist (RPh) license
• Requires a Doctorate of Pharmacy (PharmD) degree from an accredited school of Pharmacy in the United States
• Requires 12 years prior relevant experience
• Requires 6 years of management experience
• Thorough knowledge regarding therapeutic use of drugs
• Prior management experience in health plans or pharmacy benefit management companies, with deep knowledge of pharmacy benefit, formulary and network products, program strategies and competitive landscape
• Prior experience in evaluation of pharmacy program value and performance drivers
• Prior experience in vendor partnership, contract operations, negotiations, and performance management
• Strong business acumen with proven experience in pharmacy strategy development and planning
• Excellent presentation, verbal and written skills with ability to understand and convey complex ideas to audience with diverse backgrounds
Excellent communication skills with prior experience in presentations to internal and external executive level business stakeholders

Hybrid

This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into the office two days each week.

Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need.

ABOUT THE TEAM
About Blue Shield of California

As of January 2025, Blue Shield of California became a subsidiary of Ascendiun. Ascendiun is a nonprofit corporate entity that is the parent to a family of organizations including Blue Shield of California and its subsidiary, Blue Shield of California Promise Health Plan; Altais, a clinical services company; and Stellarus, a company designed to scale healthcare solutions. Together, these organizations are referred to as the Ascendiun Family of Companies.

At Blue Shield of California, our mission is to create a healthcare system worthy of our family and friends and sustainably affordable. We are transforming health care in a way that genuinely serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience.

To achieve our mission, we foster an environment where all employees can thrive and contribute fully to address the needs of the various communities we serve. We are committed to creating and maintaining a supportive workplace that upholds our values and advances our goals.

Blue Shield is a U.S. News Best Company to work for, a Deloitte U.S. Best Managed Company and a Top 100 Inspiring Workplace. We were recognized by Fair360 as a Top Regional Company, and one of the 50 most community-minded companies in the United States by Points of Light. Here at Blue Shield, we strive to make a positive change across our industry and communities – join us!

Our Values:

• Honest. We hold ourselves to the highest ethical and integrity standards. We build trust by doing what we say we're going to do and by acknowledging and correcting where we fall short.
• Human. We strive to listen and communicate effectively, showing empathy by understanding others' perspectives.
• Courageous. We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals.

Physical Requirements:

Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day.

Equal Employment Opportunity:

External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.