Senior Director - Pharmacy

About Blue Cross and Blue Shield of Minnesota

At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. We are looking for dedicated and motivated individuals who share our vision of transforming healthcare. As a Blue Cross associate, you are joining a culture that is built on values of succeeding together, finding a better way, and doing the right thing.

If you are ready to make a difference, join us.

The Senior Director of Pharmacy serves as BCBSMN’s primary strategic liaison between pharmacy, sales, and network teams while leading and developing a high-performing pharmacy team. This role is responsible for evaluating pharmacy‑related RFP opportunities, ensuring proposed solutions are viable, competitive, profitable, and operationally realistic. The position also leads pharmacy engagement with network partners, establishing solution frameworks, reviewing analytics, and collaborating with P&L owners to proactively manage performance.

This leader ensures BCBSMN delivers clinically sound, cost‑effective, and market‑responsive pharmacy and specialty benefit solutions while strengthening relationships across sales, network, operations, and our PBM partner.

• Sales Liaison & RFP Strategy.
• Evaluate pharmacy‑related RFPs for viability, profitability, competitiveness, and operational feasibility.
• Develop and evaluate strategies for groups to help with total cost of care.
  
  Provide recommendations and push back on unrealistic, unprofitable, or non‑aligned request elements.
• Partner with Sales to shape pharmacy product & solutions that align with client and member needs, support client‑facing discussions, and finalist presentations.
• Network Liaison & Solution Framework Leadership.

• Collaborating with Network and P&L owners to design and implement programs and solutions that align pharmacy and provider strategies.
• Reviewing analytics and utilization data to guide solution(s) performance supporting total cost of care goals.
• Proactively managing solution performance and coordinate with Network, Analytics, PBM, and operational teams to optimize results.
• Assemble and deliver group level reporting of plan spend, program performance, and impact analysis of proposed programs and solutions.
• Pharmacy Program Leadership
• Developing and implementing pharmacy and specialty benefit strategies that manage cost and improve member and provider experiences.
• Monitoring industry trends and driving innovation in pharmacy services, benefit design, and operational effectiveness.
• Performs additional responsibilities consistent with the scope and level of the role, as assigned.

• 7+ years of progressive health services experience with 3+ years of management experience.
• Doctor of Pharmacy (PharmD) or Registered Pharmacist (R.Ph.) degree.

• Masters degree in related field
• Ability to communicate strategic direction across departments, actively listen to address organizational challenges, and align leaders and stakeholders through clear and actionable guidance.
• Ability to analyze cross-functional impacts, set clear priorities, and guide leaders to resolve high‑impact challenges and improve outcomes.
• Ability to communicate strategic direction, listen to address challenges, utilize technology to analyze cross‑functional impacts, and aligns stakeholders to drive prioritized, high‑impact solutions.
• Ability to effectively organize work, balance cross‑functional priorities, and manage team capacity across initiatives to support business objectives.
• Experience and knowledge of pharmacy operations, including PBM, health plan, retail, specialty, or medical pharmacy.
• Experience in triaging and resolving inquiries associated to claims and benefits.
• Experience working Commercial, Medicare, and/or Medicaid.
• Experience working with members/clients/patients on the phone.
• Demonstrated project management and strategy development skill set.
• Pharmacy quality measurement knowledge (e.g. Star Ratings, HEDIS).
• Medication Therapy Management delivery and/or management experience.

Required:

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