Career Center

Director, Pharmacy Benefits and Innovation

Blue Cross Blue Shield of Arizona (BCBSAZ) is seeking a highly motivated and experienced Pharmacy Benefits and Innovation Director to join our award-winning team. Our ideal candidate is a registered pharmacist who can direct all aspects of BCBSAZ’s pharmacy programs, including commercial, exchange, Medicaid, formulary design and maintenance, and pharmacy utilization / quality management.

A Healthier Arizona Starts with You

Pay: $160,000 - $190,000 per year

Location: This hybrid work opportunity requires residency—and work to be performed—within the State of Arizona.

As you work to help us improve the quality of life for Arizonans, expect to thrive in an energetic, diverse environment, championed by an organization consistently named a Best Places to Work and Most Admired Company in Arizona.

Our benefits support work-life balance and the flexibility you need to be your best.

They include:

• Director Benefits Package available

We are looking for a pharmacy professional who can:

• Provide strategic direction, operational oversight, and financial impact analysis for all pharmacy programs
• Manage pharmacy benefits manager (PBM) contract for all lines of business while managing pricing and performance guarantees
• Work closely with the BCBSAZ sales team to provide support related to PBM programs and pricing
• Initiate Request for Proposal (RFP) and market check for PBM
• Act as subject-matter expert in all pharmacy operations areas, providing ongoing education to internal partners, members, and network physicians

To thrive in this role, you must also be able to:

• Ensure compliance with all CMS and Arizona Department of Insurance requirements
• Prepare and present executive reporting about our PBM, including RFP/market check results. Make recommendations from results.
• Work with modeling teams to create proof of value models to gauge benefits and develop integration plans with application teams to leverage the models within the current application landscape
• Initiate recruitment, selection, training, development, and coaching of employees. Further, maintain and encourage a positive working environment through a variety of communication systems, positive recognition, intervention, and practice resignation recovery.
• Serve as the pharmacy leader liaison to underwriting and sales for our PBM pricing and relationship, including assistance with benchmark preparations and reviews with client

Qualifications

• Bachelor’s degree in Pharmacy or Doctor of Pharmacy
• Active, current, and unrestricted State of Arizona pharmacist license must be obtained within six months of placement in this role.
• 7 years of experience in a PBM environment with expertise in drug pricing and contracting
• 5 years of experience in developing strategic plans, forecasting, and budgeting
• 5 years of experience in a leadership role in a healthcare setting
• Intermediate PC proficiency, including experience using Microsoft Excel, Word, and Outlook

Why Join Blue Cross Blue Shield of Arizona?

At BCBSAZ, your pursuit of balance, happiness, and fulfillment is supported through our Workability model, a future-focused workforce strategy that encourages you to perform your job wherever you work best. Whether fully remote, always in the office, or somewhere in between, you decide which arrangement best supports your work style and season of life.

As you do, you’ll be in good company.

Led by an award-winning executive team in offices throughout Phoenix, Flagstaff, and Tucson, more than 2,700 dedicated and diverse employees inspire health and make it easy in Arizona through advanced clinical programs and community outreach. With a focus on connecting Arizonans to the care they need, BCBSAZ offers health insurance and related services to more than 1.9 million customers.

Our Commitment

BCBSAZ actively guards against bias and is committed to nurturing a culture of inclusion and opportunity for all. BCBSAZ does not discriminate in hiring or employment based on race, ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status, or any other protected group.

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