Senior Strategic Advisor: Pharmacy

What You'll Do

• Consult with ASO clients on pharmacy benefits, programs, and pricing.
• Analyze client data to identify cost‑savings opportunities and utilization trends.
• Conduct quarterly and annual utilization review meetings with clients.
• Manage relationships with ASO clients, medical sales partners, and external consultants.
• Proactively identify, evaluate, and support implementation of healthcare redesign, provider reimbursement, and partnership strategies that align with BCBSNC’s growth objectives while managing costs and improving member outcomes and experience.
• Support and manage development efforts related to the enhancement and maintenance of current products and market offer components.
• Collaborate on and execute critical activities including strategic planning, complex financial and qualitative analysis, and thought leadership at departmental and enterprise levels.
• Present strategic concepts, planning insights, medical expense and reimbursement data, provider performance metrics, and impact assessments to internal and external audiences, including senior‑level leadership.
• Organize, optimize, and communicate progress toward completion of the overall work portfolio.
• Collaborate with cross‑functional partners across the enterprise on shared initiatives and unique ventures, serving as a subject matter expert in healthcare delivery transformation, reimbursement, and strategy.
• Identify, analyze, and monitor industry, regulatory, technology, and market trends impacting divisional operations, provider reimbursement, medical expense strategy, and payer‑provider dynamics.
• Leverage expertise to drive operational improvements through enhanced analytics and reporting capabilities, project management techniques, and consulting or engagement approaches.

Hiring Requirements

• Bachelor’s degree or advanced degree (where required).
• 5+ years of experience in a related field.
• In lieu of a degree, 7+ years of relevant experience.

Great to Have

• PBM or pharmacy experience.
• Client‑facing sales or consultative experience.

Salary Range

$89,174.00 - $142,679.00

Skills

• Healthcare Consulting
• Healthcare Financial Management
• Healthcare Industry
• Healthcare Innovation
• Healthcare Management
• Healthcare Reimbursement
• Healthcare Strategic Planning
• Health Outcomes
• Medical Reimbursement
• Performance Metrics
• Physician Reimbursement
• Project Management
• Provider Reimbursement
• Reimbursement
• Reporting and Analysis