What are the responsibilities and job description for the Sr. Director, Finance Analytics - Pharmacy position at Blue Shield Of California?
Your Role
The Sr. Director, Finance - Pharmacy will report to the SVP, Underwriting and Analytics and Chief Actuary . In this role you serve as a strategic finance thought partner to the SVP & Chief Pharmacy Officer, as well as oversee financial and growth aspects of Pharmacy. This role is critical as it is complex in working with state and federal financial reporting and will also help shape our Pharmacy Program within our Stellarus and Ascendium companies.
Your Work
In this role, you will :
- Serve as a strategic finance thought partner to the SVP & Chief Pharmacy Officer, as well as oversee financial and growth aspects of Pharmacy
- Collaborate with the General Managers and their teams to develop realistic membership growth strategies that align with the organization's long term growth targets, as well as assist in driving execution as appropriate
- Partner with the Pricing and Growth actuarial team to develop fully insured pharmacy pricing strategies. Provide require input to insured pricing decisions and forecasting (pharmacy trend, rebates and COHC impacts) Complete all pharmacy actuarial analysis inclusive of vendors and formulary. Monitor drug pipeline.
- Overseeing membership reporting and analysis including monthly reporting and variance analysis and forecasting and long-range planning
- Oversee monitoring of ASO clients performance. Drive execution on corrective actions
- Develop standard RX ASO pricing for Medical Underwriting to implement. Manage financial RFP process for non-standard RX ASO clients.
- Meet routinely with the General Managers to update them on latest performance results, assist in creating initiatives to ensure success in achieving membership growth goals and financial targets while ensuring they are aligned with the organization wide strategy, and driving execution of the associated action plan across shared services
- Respond to Ad Hoc financial requests from Business Partners, direct as well as matrix, as well as fulfilling all Growth Finance and Corporate Finance requested analyses and reports.
- Drive the overall pricing strategy for ASO pharmacy offerings
- Oversee the Monthly Financial Close meetings, ensuring that the Line of Business is aware of latest growth and financial results and their implications
- Collaborate with the Pharmacy Services team on the 5-year strategic plan for Pharmacy Care Reimagined, including all financial metrics and predicted performance
- Develop a comprehensive P&L monthly KPI statement for the pharmacy across all LOBs (Medicare, FI Commercial and ASO)
- Collaborate closely with the Enterprise and Line of Business Strategic Planning and Performance team initiatives
Your Knowledge and Experience
