BCBSA_CHGO

Sr. Director Clinical Strategy, Blue NewCo

Job Locations US
Job ID
2022-4097
# of Openings
1
Category
Blue NewCo
Level
Mid Senior Level

Overview

*Remote/Hybid* 

 

The NewCo Rx Sr. Director Clinical Strategy leads the overall clinical strategy and implementation, portfolio of clinical opportunity and tracking for specified therapeutic categories. This includes medical drug policy, cross benefit management, trend management, and medical drug management capabilities. This position will establish and maintain cross functional partnerships with capability owners to drive the identification, development and successful execution of NewCo Rx programs. This position will be the subject matter expert for NewCo Rx clinical solutions, and specific therapeutic categories for both internal and external stakeholders, including competitive intelligence.

Responsibilities

Responsibilities include but are not limited to:

  • Maintain competitive intelligence of best-in-class medical drug management solutions in the market, with a focus on clinical management through medical drug policy or other utilization management programs; additionally, strategies to manage medical drug using non-clinical, administrative, or other methods
  • Lead the development and implementation of strategies for the internal and external committee and serve as an internal SME to cross functional client teams and participate in client facing meetings to further translate and advise on the implementation of proposed strategies
  • Develop clinical and business solutions for the MedDrive program specific therapeutic categories; oversee the development and implementation of product solutions
  • Partner with the following stakeholders for:
    • Analytics teams to manage/ monitor data in areas such as: trend/net trend, net ingredient cost, utilization % change, brand inflation, specialty network savings, formulary compliance, rebate/Rx, specialty network savings, utilization management (UM) drug savings.
    • Client Engagement teams in consulting on strategies and presenting specific solutions to Clients
    • Pharmaceutical Trade Relations: for collaboration on new programs that may impact manufacturer contracting, manufacturer contract performance and other areas as needed
    • Clinical Program Development: serve as a partner for NewCo Rx UM policies design placement, pipeline, P&T committee recommendations, and maintenance of drug lists
    • Strategize with Trade, Innovation, and Analytics teams to develop and assist with management of therapeutic category performance
    • Provide support to product team in development and maintenance of any NewCo Rx solution collateral

Qualifications

Required Basic Qualifications:

  • Doctor of Pharmacy (PharmD) or Bachelor of Science Pharmacy degree and current pharmacist license in good standing with the State Board of Pharmacy in the state where the position is located
  • 8 years of work experience in health care, including health plan, health system, pharmacy experience in managed care or specialty pharmacy with 3 years minimum at a health plan or PBM experience in medical drug management
  • Must be eligible to work in the United States without need for work visa or residency sponsorship

Additional Qualifications:

  • Ability to facilitate change
  • Ability to develop relationships and influence at all organizational levels
  • Demonstrated ability to distill complex concepts or situations into concise and compelling communications
  • Critical thinking skills and ability to anticipate issues and develop innovative solutions
  • Preferred Qualifications
  • Advanced degree or Certification in specific therapeutic category
  • Experience in commercial or government program medical drug management strategy
  • Minimum Physical Job Requirements
  • Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus

Reporting Structure

  • Reports SVP Analytics

Equal Opportunity Employer

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.

Options

Sorry the Share function is not working properly at this moment. Please refresh the page and try again later.
Share on your newsfeed

Need help finding the right job?

We can recommend jobs specifically for you! Click here to get started.