Demo

Business Analyst, Consultant - Pharmacy Network

Blue Shield of CA
Oakland, CA Full Time
POSTED ON 2/13/2025
AVAILABLE BEFORE 5/3/2025

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 requirements 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.

LI-AD3

Salary : $100,320 - $150,590

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