About Blue Cross and Blue Shield of Minnesota

At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. We are looking for dedicated and motivated individuals who share our vision of transforming healthcare. As a Blue Cross associate, you are joining a culture that is built on values of succeeding together, finding a better way, and doing the right thing. If you are ready to make a difference, join us.

The Impact You Will Have

The Pharmacist Business Segment Director will manage all aspects of the assigned business segment(s) and working with the Pharmacy Department to provide hands-on support, consultation, technical and clinical expertise. This will include coordination of the clinical components of the pharmacy program and represent the Pharmacy department at various teams and committees throughout the organization requiring clinical pharmacy expertise. The individual may develop and manage one or more direct reports and liaise with the pharmacy benefit manager (PBM) to coordinate activities and program interventions of the clinical pharmacists assigned to the health plan. This role plays a critical role in supporting the strategic and operational objectives of the Pharmacy Department.

Your Responsibilities

• Manage all aspects, including financial/operational performance of assigned business segment(s).

• Support the Sr. Director Pharmacy in representing the department on clinical pharmacy issues as needed throughout the organization.

• Represent Pharmacy Department and/or lead Clinical Pharmacy meetings internally and externally including Pharmacy Clinical Team (PCT) and Pharmacy and Therapeutics (PandT) committees.

• Point of contact for Pharmacy business segment and represent the segment internally and externally for member and client facing meetings.

• Lead projects and program implementation related, but not limited to, disease and/or case management, poly pharmacy initiatives, Specialty Pharmacy, patient safety and clinical outcomes.

• Lead benefit design strategies for business segment.

• Pharmacy lead providing strategic direction on commercial membership growth strategies.

• Oversees the development, execution and operation of pharmacy programs and services which are clinically effective, manage overall drug costs/trend and create positive member and provider experiences.

• Actively engage with the PBM Clinical team in the design and coordination of clinical program elements including Formulary Management and Utilization Management.

• Oversee Formulary submission in regulated markets.

• Provide hands-on consultation to members, groups, and/or health plan staff regarding appropriate benefit design, clinical outcomes, and cost issues.

• Monitor and evaluate effectiveness of Clinical programs.

• The job description in not intended to be an exhaustive list of all functions and responsibilities of the position. Employees are held accountable for all functions of the job. Job duties and the % of time identified for any function are subject to change at any time.

• May manage and provide direction/oversight for other Pharmacy staff.

• Work is performed in an office setting. In-state and out-of-state travel occasionally required.

Required Skills and Experience

• Accepting this position at BCBSMN requires signing an Employee Confidentiality, Intellectual Property Assignment and Restrictive Covenants Agreement as a condition of employment.

• Clear and active Pharmacist license in the state of Minnesota.

• BS degree in Pharmacy or PharmD.

• 7+ years of related professional experience. All relevant experience including work, education, transferable skills, and military experience will be considered.

• Excellent verbal and written communication skills.

• Superior analytical, quantitative, and problem-solving skills.

• Strong business acumen.

• Proficient and confident conducting discussions in front of large and small groups.

• Can manage/lead one or several direct reports.

• High school diploma (or equivalency) and legal authorization to work in the U.S.

Preferred Skills and Experience

• Masters degree preferred or post graduate training, advanced training, or clinical program completion.

Compensation and Benefits:

Pay Range: $132,300.00 - $178,600.00 - $224,900.00 Annual

Pay is based on several factors which vary based on position, including skills, ability, and knowledge the selected individual is bringing to the specific job.

We offer a comprehensive benefits package which may include:

• Medical, dental, and vision insurance
• Life insurance
• 401k
• Paid Time Off (PTO)
• Volunteer Paid Time Off (VPTO)
• And more

To discover more about what we have to offer, please review our benefits page.

Role Designation

Hybrid

Anchored in Connection

Our hybrid approach is designed to balance flexibility with meaningful in-person connection and collaboration. We come together in the office two days each week – most teams designate at least one anchor day to ensure team interaction. These in-person moments foster relationships, creativity, and alignment. The rest of the week you are empowered to work remote.

Equal Employment Opportunity Statement

At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. Blue Cross of Minnesota is an Equal Opportunity Employer and maintains an Affirmative Action plan, as required by Minnesota law applicable to state contractors. All qualified applications will receive consideration for employment without regard to, and will not be discriminated against based on any legally protected characteristic.

Individuals with a disability who need a reasonable accommodation in order to apply, please contact us at: talent.acquisition@bluecrossmn.com.

Blue Cross® and Blue Shield® of Minnesota and Blue Plus® are nonprofit independent licensees of the Blue Cross and Blue Shield Association.