- Support the Pharmacy Business Segments (Self Insured, Fully Insured, and Government Programs) including outreach to internal and external constituents.
- Conduct and analyze pharmacy related reports from business database applications.
- Engage and collaborate with internal and external business teams in the business planning process.
- Evaluate and document of all current processes and procedures of pharmacy partners.
- Develop workflows/processes, identify gaps and opportunities for improvement of standard operating procedures.
- Support program development of Clinical Pharmacy Programs, manage databases and develop communications to members and providers.
- Identify opportunities for improvement and develop recommendations to business based on analysis and auditing of standard PBM reports.
- Work with PBM and internal business partners to develop corrective strategies and communicate downstream impact of issues and opportunities to all necessary internal business partners.
- Support implementation, monitoring, and review operational workflows for data accuracy and overall efficiency.
- Manage workflow for clinical consultations.
- Other duties as assigned.
- Clear and active Pharmacy Technician license in the state of Minnesota.
- 5+ years of related professional experience. All relevant experience including work, education, transferable skills, and military experience will be considered.
- Relevant experience with MS Office Tools (PowerPoint, Excel, and Word).
- Excellent verbal and written communication skills.
- Analytical, quantitative, and problem solving skills.
- Bachelor's degree.
- Prescription Benefit Management, Health Plan, or Retail Pharmacy experience.
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Pharmacy Business Segment Analyst - Eagan, United States - Blue Cross and Blue Shield Association
Description
About Blue Cross
Blue Cross and Blue Shield of Minnesota is one of the most recognized and trusted health care brands in the world with 2.5 million members.
How Is This Role Important to Our Work?
This position is responsible for supporting all aspects of the Pharmacy Business Segments by working with the Pharmacy Department to provide hands-on support, consultation, technical and operational expertise.
Work closely with cross functional teams and Prescription Benefit Manager (PBM) to support pharmacy initiatives and partner with Business Segments to ensure implementation and execution.
A Day in the Life:
Required Skills and Experiences:
Nice to Have:
Role Designation:
Hybrid Remote
Role designation definition:
Teleworking is working full time remote. Hybrid is a combination of working onsite and remotely. Onsite is full-time onsite.
Make a difference
Blue Cross is an Equal Opportunity and Affirmative Action employer that values diversity.
All qualified applicants will receive consideration for employment without regard to, and will not be discriminated against based on race, color, creed, religion, sex, national origin, genetic information, marital status, status with regard to public assistance, disability, age, veteran status, sexual orientation, gender identity, gender expression, or any other legally protected characteristic.
Reasonable Accommodation for Job Seekers with a Disability: If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries toAll roles require a high school diploma (or equivalency) and legal authorization to work in the U.S.
Blue Cross and Blue Shield of Minnesota and Blue Plus are nonprofit independent licensees of the Blue Cross and Blue Shield Association.
