Pharmacist, Principal - Pharmacy Products

Oakland, CA, United States and 6 more

Your Role

The Pharmacy team provides pharmacy benefit management services and strategies to support Blue Shield affordability and membership goals. The Pharmacist, Principal will report to the Sr. Manager, Pharmacy Products. In this role you will support pharmacy product strategy development and implementation to support attainment of pharmacy pricing, membership growth, and retention strategies and initiatives. 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:

• Develop, analyze & monitor prescription drug, medical claims, and program data to identify opportunities to improve quality and cost of healthcare and to monitor/report performance and outcomes
• Develop project proposals for identified opportunities and support implementation
• Serve as a BSC Pharmacy Services contact and subject matter expert to stakeholders, and manage external relationships (vendors, clients) related to assigned work

Serve as a primary pharmacy lead to work with Commercial business units to develop and implement pharmacy products and market initiatives that align with business unit growth and profitability objectives

Lead and/or actively participate in cross functional processes, including executive audience forums, to brainstorm, influence and recommend pharmacy strategies and initiatives to support value proposition, annual go to market and multi-year roadmap planning

Provide thought leadership and pharmacy marketplace intelligence to influence product and cost of health care strategy development and prioritization

Monitor pharmacy program performance, marketplace and mandate requirements, and work cross functionally and coordinate with other business units such as Actuary and Product to support line of business management and develop solutions to differentiate Blue Shield of California

Support issue resolutions, communications, and solutions development that impact pharmacy benefit and day-to-day operations to ensure lines of business deliverables are met

Support Pharmacy Care Reimagined strategic initiative implementation as appropriate

Perform other duties as assigned

Your Knowledge and Experience

• Requires a Doctor of Pharmacy (Pharm
  
  D) degree
• Requires a currently active and unrestricted California Registered Pharmacist (RPh) license
• Requires 4 years of experience in clinical pharmacy
• Experience working in a managed care or pharmacy benefit management setting is preferred

Prior experience in presenting pharmacy program recommendations, performance, value and observations to executive leadership is preferred

Prior experience in pharmacy benefit strategy and solutions development with understanding of pharmacy levers and marketplace requirements is preferred

Excellent presentation, verbal and written skills with ability to understand and convey complex ideas to audience with diverse backgrounds

Strong business acumen with proven experience in strategy development and planning

Proficiency in MS Office products, particularly in MS Word, PowerPoint, and Excel

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 isa 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 Fair
360 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…