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Business Analyst, Consultant - Pharmacy Network

Job Description

Your Role

The Pharmacy Operations team oversees the build, implementation and maintenance of pharmacy benefits and pharmacy networks in a multi-vendor collaborative partnership. The Business Analyst, Consultant will report to the Senior Manager, Pharmacy Benefit Implementation. In this role you will support and be a subject matter expert in Pharmacy Network setup and maintenance.

Your Knowledge and Experience

  • Requires a bachelor's degree or equivalent experience
  • Requires at least 7 years of prior relevant experience, including in a pharmacy network composition and rates related role
  • Requires knowledge of pharmacy operations and healthcare systems
  • Familiarity with regulatory requires in the healthcare industry
  • Strong understanding of the Pharmacy Benefit Management (PBM) industry and the financial levers of a PBM highly desired
  • Knowledge of pricing inputs and services (e.g. plan design, prescription history, retail pharmacy network models, rebate assumptions, specialty, mail pharmacy, brand/generic, and more) for contracted PBM services across multiple pricing methodologies strongly preferred

Pay Range:

The pay range for this role is: $ 100320.00 to $ 150590.00 for California.

Note:

Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles.


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.

 

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