Blue Cross and Blue Shield Association logo

Sr. Director, Pharmacy - Prior Authorization & Call Center

Blue Cross and Blue Shield Association
  • CT, CT
  • Autofill and Review
11 days ago

Job Description

Your Role

The Blue Shield of California (BSC) Pharmacy team is passionate about making a meaningful impact by reimagining pharmacy care. Ensuring every member has safe, equitable access to sustainably affordable pharmacy benefits is at the heart of everything we do. The Senior Director, Pharmacy Prior Authorization and Call Center will report to the Senior Vice President of Pharmacy Services at BSC. In this role you will manage a team of over 200 employees and in collaboration with the Medical Director, be responsible for designing, executing, and optimizing prior authorization and call center processes to ensure clinically appropriate, cost effective, and compliant patient care. You will work cross functionally and partner with vendors as appropriate to optimize patient access while supporting affordability of medications covered under pharmacy and medical benefits for all lines of businesses.

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 and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.

Numbers & Facts

LocationCT, CT
IndustryInsurance
Company Size2,000 to 2,499 employees
Websitehttps://www.bcbs.com/about-us/careers

About Company

At the Blue Cross and Blue Shield Association (BCBSA), we provide business strategy, technical support and consulting expertise to 36 Blue Cross and Blue Shield companies across the nation, employing more than 1,000 of the best strategic thinkers in the industry. We are a Brand manager that sets quality control standards for the 36 independent companies that use the Blue Cross and Blue Shield Brands, and we serve as a trade association that represents these Blue companies. It is through our involvement that the Blues companies share a united vision and strategy while also benefiting from the local strength of all member companies.

Skills

  • Call Centersunmatched
  • Cross-Functionalunmatched
  • Health Planunmatched
  • Leadershipunmatched
  • Medicationsunmatched
  • Patient Careunmatched
  • Pharmacyunmatched
  • Team Lead/Managerunmatched

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