What are the responsibilities and job description for the Program Manager, Consultant- Pharmacy Benefits Management position at Blue Shield of CA?
Your Role
The Pharmacy Operations and Stabilization team provides management and end-to-end oversight of all Pharmacy operations, production stabilization issues, and drives issues from identification to resolution within a matrixed environment. The Program Manager, Consultant will report to the Sr Manager, Pharmacy Operations and Stabilization. In this role you will assure timely and accurate operations for your assigned areas, lead intake and initial assessment of new pharmacy issues, partner with subject matter experts to perform root cause analysis, identify impacts and potential solution options, develop and drive the summary and action plan including any remediation needed for medium to large issues impacting Pharmacy Strategy and Operations. Working in a matrixed environment, the Program Manager, Consultant will partner with cross-functional teams and external vendor partners to ensure alignment with stakeholders.
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
Your Knowledge and Experience
Requires a Bachelors degree or equivalent experience
7 years of prior relevant experience required
Advanced knowledge of pharmacy operations at the health plan level including benefit build and adjudication and/or claims/financial data exchange
Excellent analytical and problem-solving skills
Excellent interpersonal, verbal and written communication skills that exhibit a solutions-oriented approach
Demonstrated leadership, project management, and executive level reporting experience
Experience using MS Office tools including Excel, PowerPoint, SharePoint and Project
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.
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.