Blue Cross and Blue Shield of Minnesota · 1 month ago
Pharmacist Business Segment Director - Medicaid
Eagan, MN
Full-time
Hybrid
Mid, Senior Level
$132K/yr - $225K/yr
5+ years expBlue Cross and Blue Shield of Minnesota is hiring a Pharmacist Business Segment Director – Medicaid in Eagan, MN. This position provides strategic direction on Medicaid growth strategies while partnering with the Pharmacy Department to deliver clinical and business expertise.
Insurance
Responsibilities
Support the Senior Director of Pharmacy in representing the department on clinical pharmacy issues as needed throughout the organization
Represent pharmacy department and/or lead clinical pharmacy meetings internally and externally
Point of contact for pharmacy business segment and represent the segment internally and externally
Lead projects and program implementation related, but not limited to, disease and/or case management, drug management initiatives, specialty pharmacy, patient safety and clinical outcomes
Pharmacy lead providing strategy direction on Medicaid growth strategies
Actively engage with the PBM or vendor clinical team in the design and coordination of benefit or clinical program elements including formulary management and utilization management
Oversee formulary submission in regulated markets
Provide hands-on consultation to members, groups, and/or health plan staff regarding appropriate benefit design, clinical outcomes, and cost issues
May manage and provide direction/oversight for other Pharmacy department staff
Monitor and evaluate effectiveness of Clinical programs
Qualification
Required
Clear and active Pharmacist license in the state of Minnesota
BS degree in Pharmacy or PharmD
5+ years of related professional experience. All relevant experience including work, education, transferable skills, and military experience will be considered
Excellent verbal and written communication skills
Superior analytical, quantitative, and problem solving skills
Strong business acumen
Proficient and confident conducting discussions in front of large and small groups
Can manage/lead one or several direct reports
Preferred
5+ years of managed care experience strongly preferred
Masters degree preferred or post graduate training, advanced training, or clinical program completion
Demonstrated hands-on Medicaid expertise, including direct experience with Medicaid benefits, formulary management, utilization management, and successful implementation of programs or initiatives within the Medicaid business
Medicaid formulary experience
Proven decision-making experience, demonstrating the ability to evaluate complex information, make sound judgments, and take ownership of outcomes in a managed care or pharmacy benefits environment
Benefits
Medical, dental, and vision insurance
Life insurance
401k
Paid Time Off (PTO)
Volunteer Paid Time Off (VPTO)
And more
Company
Blue Cross and Blue Shield of Minnesota
About Blue Cross Blue Cross and Blue Shield of Minnesota is a taxable, nonprofit organization with a mission to make a healthy difference in people’s lives.
1001-5000 employees
H1B Sponsorship
Blue Cross and Blue Shield of Minnesota has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (4)
2024 (4)
2023 (6)
2022 (2)
2021 (3)
2020 (5)
Funding
Current Stage
Late StageLeadership Team
Carrie S. Lawrence
Executive Administrator to the President & CEO and Chief of Staff
Patsy Riley
Chief Goverment Officer and Senior Vice President and CEO, ClearStone Solutions
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