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Leading the Platform Experience & Capability Design COE, the Director oversees product ownership, platform strategy, engineering alignment, operations, governance, and value realization across Salesforce, Pega, SmartComms, and MHK. Broad management knowledge to lead a centralized function and cross-functional project teams, with mastery-level knowledge of platform experience and capability design and a broad understanding of adjacent business and technology disciplines.

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.

Blue Cross and Blue Shield Association

Director, Platform Experience & Capability Design

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Additionally, you will partner closely with Pharmacy Clinical Leadership, Medical Management, Finance, Actuary, Provider Contracting, and external pharmacy benefit management (PBM) partners to identify and implement strategies that improve drug trend management and maximize value for members, clients, and the organization. Establish strategic direction, contracting requirements, and performance oversight for pharmacy and medical benefit networks, including retail, specialty pharmacy, home infusion, mail order, ancillary pharmacy, and provider networks supporting provider-administered drugs.

Director, Pharmacy Strategy and Performance

The Clinical Pharmacy Programs team within the Pharmacy Strategy & Operations department is a team of pharmacy professionals responsible for defining and executing strategies to address clinical quality and affordability of prescription medications used by Blue Shield of California (BSC) members. In this role, you will: Collaborate with enterprise business partners to continuously improve upon the strategy to address drug related quality and member experience measures, including Part D measures in the Medicare Star Ratings system, and those that apply for non-Medicare members.

Director, Pharmacy - Drug Quality Program

You will provide strategic leadership for enterprise pharmacy analytics, partnering closely with Pharmacy Strategy, Formulary, Clinical, Finance, Actuarial, Product, Operations, and external vendor partners to develop advanced analytical solutions, reporting, or data transfers that support key business priorities. As the Director, Pharmacist - Pharmacy Data & Analytics, you will lead the pharmacy organization's data, reporting, analytics, and business intelligence strategy to support informed decision-making across a pharmacy spend portfolio exceeding $5 billion annually.

Director Jobs in Redding, CA

Director, Platform Experience & Capability Design Blue Cross and Blue Shield Association

Director, Pharmacy Strategy and Performance Blue Cross and Blue Shield Association

Director, Pharmacy - Drug Quality Program Blue Cross and Blue Shield Association

Director, Pharmacy Data And Analytics Blue Cross and Blue Shield Association

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