The Senior Consultant will lead mid-size projects to support manager and leadership with ad hoc projects to support the Program, GPO and BCBSA initiatives. Responsible for managing a portfolio of therapeutic classes, including strategy development, contract negotiation, pipeline monitoring and execution, resulting in program growth and value creation for Plans. Manage relationship with assigned Blue Plans and Manufacturers, as well as supports Plan engagement activities including marketing materials, webinars, newsletter articles and the annual conference. The Senior Consultant will support development of and responses to RFP’s and RFI’s, contribute to other ad hoc projects to support the Program, GPO and BCBSA initiatives, and enhance our analytics by informing and reviewing required modeling.

Responsibilities include but are not limited to:

• Grows the category assigned both through the addition of new national agreements, agreement expansion and Plan adoption/utilization. Responsible for the day-to-day management of contracts assigned. Has the ability to acquire, organize and synthesize financial data and other information to identify and communicate key findings. Maintains financial viability and takes ownership of category. This includes:
  • Leads mid-size projects and portions of larger projects to meet the needs of internal and external clients.
  • Responsible for serving as key contact for BCBSA for assigned manufactures.
  • Able to anticipate internal/external customer needs and propose and execute solutions.
  • Can direct the negotiations of major contracts under the supervision of their manager.
  • Has a complete understanding of all sourcing process documentation.
• Prepares and presents reports, written materials, spreadsheets, promotional materials and presentations to support the work within categories assigned for Plans, manufacturers and additional stakeholders.
• Engages with Plans and manufacturers routinely through 1:1 communications, meetings, presentations, webinars, etc.
• Conducts market research to validate category performance, identifies trends/new opportunities and is a subject matter expert within the category, particularly around emerging therapeutic classes. Ability to interact with stakeholder staff and external suppliers to lead in collecting information and conducting interviews/surveys.

Required Basic Qualifications:

• Bachelor’s degree in any of the business disciplines (e.g. Finance, Economics), scientific areas (e.g. biology, chemistry, pre-med) or liberal studies
• 3 years related business experience or a technical discipline within the Pharmacy/Specialty Pharmacy (primary) and/or PBM/Pharmacy or hospital industry
• 1 year contract management and negotiation within the pharmaceutical industry experience
• 2 years stakeholder relationship management experience
• Demonstrated project management experience
• Understanding or desire to work in the pharmaceutical industry
• Demonstrated ability to work independently and take ownership of categories assigned
• Strong oral/written communication and presentation skills
• Strong analytical skills
• Strong relationship management skills
• Strong project management skills
• Proficiency in Microsoft Office products (Word, Excel, PowerPoint)

Preferred Basic Qualifications:

• Experience with medical claims data and/or pharmaceutical rebate administration process
• Demonstrated knowledge of rebate claim eligibility by line of business (Commercial, Exchange, Medicare, Medicaid) and pursuant to federal and state regulations (340 B, supplement Medicaid rebates, Best Price)
• Knowledge of and practical application of coverage criteria under the medical benefit, formulary management, and other utilization management methods

Blue Cross Blue Shield Association is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, national origin, age, gender identity, disability, veteran status, genetic information or any other legally protected characteristics.