What are the responsibilities and job description for the Pharmacy Contracting and Operations Manager position at BlueCross BlueShield of Vermont?
Blue Cross and Blue Shield of Vermont is looking for a Pharmacy Contracting and Operations Manager to join our Pharmacy team. Our company culture is built on an unwavering focus on the health of Vermonters, outstanding member experiences, and responsible cost management for all the people whose lives we touch. We offer a balanced and flexible workplace, an onsite gym, fitness and wellness programs, a competitive salary and full benefits package including medical and dental insurance, vision, 401K, paid time off and holidays, tuition reimbursement and student loan repayment, dependent caregiver benefits, and resources to support your ongoing personal and professional growth and development.
COMPENSATION: The base salary range for this position is $76K-90K. Additional compensation opportunities and incentives will be detailed during the interview process. Please note that the range listed above is our good faith estimate of the hiring range for this role. If you are hired at Blue Cross and Blue Shield of Vermont, your final base salary compensation will be determined based on factors such as skills, competencies, education, experience, and internal equity across the current team. We also offer a robust benefits package with significant value (see below).
LOCATION: This role can work fully remotely. For employees in Vermont, Blue Cross has transitioned to a hybrid workplace where employees within driving distance of our Berlin, VT office work onsite on Wednesdays with the flexibility to work remotely the rest of the week.
Pharmacy Contracting & Operations Manager Responsibilities:
- Responsible for vendor contract management within the scope of the pharmacy department. Direct contracting experience is a must.
- Assists the Director and clinical pharmacists with day-to-day department operations.
- Assists with generating and maintaining reports, NCQA delegation oversight, data analytics, project implementation, audit support, client support, Request for Proposal (RFP) and Request for Rate (RFR) development, and business process improvement.
- Collaborate with the legal department to monitor legislative bills that may affect the pharmacy department and programs and assist with providing relevant pharmacy data, when required.
- Track pharmacy program performance with the assistance of pharmacist lead for the program. Help validate Return on Investments (ROIs) and financial viability of new and existing programs within the pharmacy department or through vendor partners by performing impact analysis for formulary changes, biosimilar switches, programs implementation (pre and post implementation), and rebate performance.
Pharmacy Contracting & Operations Manager Qualifications:
- Bachelor’s degree in healthcare administration, health science, public health or related field required.
- Seven (7) or more years’ experience with vendor implementation, contracting, program implementation, or project management, preferably within a health plan or PBM or as a health plan consultant.
Pharmacy Contracting & Operations Manager Benefits:
- Health insurance (including vision)
- Dental coverage (free to employees)
- Wellness Program
- 401(k) with employer match automatic employer contribution
- Life Insurance
- Disability Insurance
- Combined time off (CTO) – 20 days per year 10 paid holidays
- Tuition Reimbursement
- Student Loan Repayment
- Dependent Caregiver Benefits
Diversity, Equity, and Inclusion: Blue Cross VT is committed to creating an inclusive environment where employees respect, appreciate, and value individual differences, both among ourselves and in our communities. We welcome applicants from all backgrounds and experiences to join us in our commitment to the health of Vermonters, outstanding member experiences, and responsible cost management for all the people whose lives we touch. Learn more about our DE&I commitment at http://www.bluecrossvt.org/about/diversity-equity-and-inclusion.
*Complete job description attached to ADP posting
Salary : $76,000 - $90,000