Job Description
We're hiring an Account Management Pharmacist to join the Commercial Pharmacy Team! You will plan, coordinate and manage the clinical delivery of pharmaceutical benefits and services to BCBSNC Groups. Work collaboratively with sales and self funded group pricing teams to implementation of pharmacy programs. Responsible for the implementation and management of clinical programs for self funded group business including: drug utilization review, academic detailing, formulary compliance, generic substitution, clinical case management and physician report cards. Support new sales and retention business through clinical account management.
What You'll Do
Serve as the clinical advisor to employer groups in managing pharmacy benefits and services.
Present the value of pharmacy programs at new business finalist meetings and support drug utilization reviews for retention business.
Develop relationships with groups and consultants in the employer group market.
Develop and implement clinical pharmacy strategies which result in high-quality, cost-effective pharmacy management and outcomes for self-funded group business.
Develop, analyze, report on clinical programs, manage and coordinate between Health Care Management and Health Care Services Development to support group business sales.
Analyze, document, and report pharmacy project performance results relative to clinical indicators.
Develop, implement and manage managed care programs such as prior authorization and quantity limitations programs in order to meet employer group goals.
Ensure clinical compliance with law and regulatory bodies and represent pharmacy programs before review bodies such as the North Carolina Department of Insurance and the National Committee for Quality Assurance. Develop and maintain formulary compliance programs.
Develop educational materials, newsletters, member and provider talking points and disseminate clinical information for both internal and external audiences.
Pursue active membership in professional organizations and seek continual professional development in an effort to identify industry trends and best practices and innovative solutions to current and emerging industry challenges.
Clinically evaluate member impact to program changes elected by employer groups
What You Bring
Bachelor's degree or advanced degree
5+ years of experience in related field
In lieu of degree, 7+ years of experience in related field
licensed pharmacist or eligible for licensure in North Carolina.
Bonus Points (Preferred qualifications)
1+ year(s) experience with client facing account management
Existing relationship with and knowledge of the North Carolina health care broker/consultant community
2+ years of experience with health plans and/or prescription benefit managers
Resident of North Carolina and able to travel the state for in person meetings with clients
What You'll Get
The opportunity to work at the cutting edge of health care delivery with a team that's deeply invested in the community
Work-life balance, flexibility, and the autonomy to do great work
Medical, dental, and vision coverage along with numerous health and wellness programs
Parental leave and support plus adoption and surrogacy assistance
Career development programs and tuition reimbursement for continued education
401k match
Where You'll Work
Our Hybrid Flex approach is built on presence with a purpose - giving you flexibility to work remotely with intentional in-person connection - that supports a workplace that's flexible, connected, and future focused.
In a Hybrid-Flex role, you'll work in the office at least two days a week for collaboration and connection. In a Remote Flex role, you'll work virtually, with a few in-office visits each year for meaningful moments that matter.
Whether your role is Hybrid Flex or Remote Flex depends on the nature of the work and distance from our Durham headquarters. We welcome candidates from outside the local area and in any states listed on this job posting. Onsite expectations will be discussed during the interview process.
Salary Range
At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs.
*Based on annual corporate goal achievement and individual performance.
$118,691.00 - $189,906.00
Skills
Clinical Knowledge, Clinical Pharmacy, Clinical Practice Management, Clinical Programs, Clinical Review, Clinical Trials Operations, Medicare, Medicare Part D, Medication Therapy Management, Nursing Practice, Patient Care Coordination, Pharmaceutical Medical Affairs, Pharmacy, Pharmacy Compliance, Pharmacy Management, Pharmacy Operations
JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All our career opportunities are published on https://bcbsnc.wd5.myworkdayjobs.com/en-US/BCBSNC . If you have already provided your personal information that you suspect is fraudulent activity, please report it to your local authorities. Any fraudulent activity should be reported to: HR.Staffing@BCBSNC.com .
About Us
It's an exciting time to work at Blue Cross and Blue Shield of North Carolina (Blue Cross NC). Health care is changing, and we're leading the way. We offer more than health insurance our customers can count on. We're committed to better health and better health care - in our communities and beyond. Our employees bring energy and creativity to the workplace, and it shows in our innovative approach to improving the health and well-being of North Carolinians.
Blue Cross NC is a fully taxed, not-for-profit company headquartered in Durham, North Carolina. We serve more than 4.3 million members, and we employ more than 5,000 people across the country who are passionate about making health care better for all.
Help us lead the charge for better health care by joining our award-winning team. Discover tremendous opportunities with us to do challenging and rewarding work. Opportunities that can lead you to a fulfilling career, work that can help others lead healthier, happier lives.
Authorization to Work in the United States
We use E-verify to confirm authorization to work in the United States. To learn more about E-Verify, including your rights and responsibilities, please visit E-Verify Overview (https://www.e-verify.gov/employees/e-verify-overview) for English or Visión General de E-Verify (https://www.e-verify.gov/es/empleados/vision-general-de-e-verify) for Español.
Request Accommodations
Blue Cross NC provides reasonable accommodations to applicants with disabilities. If you need a reasonable accommodation for any part of the application or hiring process, please notify HR at HR.Staffing@bcbsnc.com .
Blue Cross NC is a Hybrid Flex company. Whether the role is Hybrid Flex or Remote Flex depends on the nature of the work and distance from our Durham headquarters. We welcome candidates from outside the local area and in any of our approved states:
Alabama, Arizona, Arkansas, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Mississippi, Missouri, North Carolina, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Wisconsin, and Wyoming
