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Full job description JOB DESCRIPTION Your Role The Trade Relations team is in charge of managing the company’s trade relations function in accordance with Blue Shield of California’s policies and practices. The Senior Director of Trade Relations will be the principal of Trade Relations. In this position, you will collaborate with internal trade partners and customers to support BSC’s Pharmacy Care Reimagined initiative, which aims to reduce costs by making medication access for members more convenient and transparent.

Your Tasks In this Position:

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Manage external relationships (vendors, manufacturers, clients) related to assigned work Develop and manage overall contracting strategy (negotiation, review, and execution of contracts) for all lines of business Develop alternative payment model (e.g. value-based and outcomes-based contracts) Manage medical rebate contracts Monitor the impact of preferred drug list on existing negotiations and forecast future contract strategies Analyze the impact of client formulary choices with respect to rebate impact; Manage medical rebate contracts Monitor the impact of preferred drug list on existing negotiations and forecast future QUALIFICATIONS Your Knowledge and Experience Requires a Doctor of Pharmacy (PharmD) degree with an MBA or strong business background Minimum of 5 years of experience in pharmaceutical manufacturer contracting capacity A knowledgeable individual with appropriate industry experience, preferable in the healthcare, insurance, or PBM industry Strong data analysis and presentation skills (pharmacy claim analysis and financial reporting knowledge preferred) Project management experience preferred A well-organized individual with the ability to independently identify, research, and resolve issues An articulate individual who can relate to people at all

This position has a pay range of: California ranges from $145,970.00 to $218,900.00.

Note:

Please be aware that this range represents the pay range for this and a great number of other positions at Blue Shield that are classified as being in this pay grade. The candidate’s experience, location (California, the Bay Area, or outside of California), and current employee salaries for similar roles all play a role in determining Blue Shield salaries.

 

ABOUT THE TEAM Blue Shield of California’s mission is to ensure that every Californian has access to affordable, high-quality healthcare. By reducing costs, enhancing quality, and enhancing the member and physician experience, we are transforming health care in a manner that serves our nonprofit mission.

We must create an environment that is diverse, equitable, and welcoming so that all employees can be themselves and fully contribute to meeting the needs of the diverse communities we serve in order to carry out our mission. Our ongoing commitment to diversity, equity, and inclusion upholds our values and advances our objective of developing a healthcare system that is worthy of our family and friends while addressing health disparities, promoting social justice, and integrating health equity through our products, business practices, and corporate citizenship.

Blue Shield is a leading disability employer, one of California’s top companies in volunteering and giving, a military-friendly employer, People Companies that Care, and a certified Fortune 100 Best Companies to Work. Join us at Blue Shield as we strive to positively impact our industry and communities.

Our Ideals:

Open and honest We adhere to the highest standards of integrity and ethics. Doing what we say we will do and acknowledging and rectifying our mistakes are two of the best ways to gain trust.
Human . We strive to be our authentic selves by listening and communicating effectively, putting ourselves in other people’s shoes, and demonstrating empathy for them.
Courageous . We are committed to putting in the time and effort required to achieve our lofty objectives and stand up for what we believe in.
Our Business Model:

The goal of Blue Shield of California is to achieve work-life harmony. We understand that flexibility is more important than ever, regardless of whether you prefer to work from home or in an office. Blue Shield is a hybrid company, so you can choose where you can work that makes you happy and has a greater impact.

There are two options: Hybrid (our default) and office: Hybrid: In a business unit-approved office a few times a year to three days a week, on average. Office: In a business unit-approved office, on average, more than four days a week. If the job you’re applying for is an “Essential Role,” the company has decided that it can only be done in a Blue Shield office or out in the field, so you’ll need to be an office worker.
Physical necessities:

Roles that require a part-time or full-time schedule in an office environment Nearly all Blue Shield employees are working remotely as a result of the current public health emergency in California. Based in our actual offices but working from a desk or office at home Sedentary, most of the day at work.

 

Equal Opportunity in Employment:

All external hires must pass a drug and background check. In accordance with federal, state, and local laws, including but not limited to the San Francisco Fair Chance Ordinance, qualified applicants with arrest or conviction records will be considered for employment. Without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status, disability status, or any other classification protected by federal, state, or local laws, all qualified applicants will be considered for employment.

 

 

blue cross blue shield data entry jobs

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