Job Information
Blue Cross Blue Shield of Massachusetts Clinical Pharmacist in Hingham, Massachusetts
Ready to help us transform healthcare? Bring your true colors to blue.
The RoleThe Clinical Pharmacist- Commercial is primarily responsible for oversight/support of the formulary offerings, utilization management protocols, and related clinical programs.
This role leverages clinical expertise and a strong understanding of managed care to develop, implement, and administer formulary and clinical management strategies to support clinical and financial goals. This pharmacist also serves as the Subject Matter Expert and primary point of contact for these functions within the company.
The TeamAs an integral part of the Pharmacy department, the Clinical Pharmacist collaborates within the broader Pharmacy team, with our PBM, within the HMM division, and cross-functionally with Sales, Underwriting, Actuarial, Product, and others.
This position is eligible for the Flex persona.
Your Day to Day:
Actively lead or participate in the strategic planning, development, and implementation of clinically appropriate and cost-effective programs to help control trend and drive positive clinical outcomes. This includes tracking drug pipeline activity to proactively identify clinical management opportunities.
Collaborate with other business areas to effectively implement and support ongoing maintenance of clinical strategies including communications, drug lists, online drug look-up tools, and related marketing collateral.
Provide ongoing evaluation of clinical programs and initiatives to ensure objectives are met.
Serve as the Subject Matter Expert and primary point of contact for formulary and clinical programs; assist with ad hoc clinically focused requests from internal business areas, providers, accounts, and members.
Support corporate innovation initiatives with external partners such as Evio as needed.
This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.
We're Looking for:
Excellent written and oral communication skills including ability to present to senior leaders and to external audiences
Strong interpersonal skills with demonstrated ability to establish and maintain positive, effective working relationships with staff, internal, and external customers
Superb organizational and time management skills, ability to work independently and effectively prioritize multiple projects and assignments
Demonstrated strength in analysis, identification of problems, and issue resolution
Excellent skills in teamwork and team approaches to goal setting and attainment, results oriented
What You Bring:
Minimum of professional Registered Pharmacist degree required. Graduate study in business, public health, or health policy fields will be favorably considered.
Unrestricted current and valid license to practice pharmacy in the state of Massachusetts
Experience in a managed care setting, either from the provider, the payer, or the PBM side of the industry, is required.
2-5 years prior pharmacy management experience preferred
#LI-Hybrid
Minimum Education Requirements:
High school degree or equivalent required unless otherwise noted above
LocationHinghamTime TypeFull time
Salary Range: $117,810.00 - $143,990.00
The job posting range is the lowest to highest salary we in good faith believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the posted range, and the range may be modified in the future. An employee’s pay position within the salary range will be based on several factors including, but limited to, relevant education, qualifications, certifications, experience, skills, performance, shift, travel requirements, sales or revenue-based metrics, and business or organizational needs and affordability.
This job is also eligible for variable pay.
We offer comprehensive package of benefits including paid time off, medical/dental/vision insurance, 401(k), and a suite of well-being benefits to eligible employees.
Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.
WHY Blue Cross Blue Shield of MA?
We understand that the confidence gap (https://www.theatlantic.com/magazine/archive/2014/05/the-confidence-gap/359815/) and imposter syndrome (https://www.braintreepayments.com/blog/overcoming-imposter-syndrome/) can prevent amazing candidates coming our way, so please don’t hesitate to apply. We’d love to hear from you. You might be just what we need for this role or possibly another one at Blue Cross Blue Shield of MA. The more voices we have represented and amplified in our business, the more we will all thrive, contribute, and be brilliant. We encourage you to bring us your true colors, , your perspectives, and your experiences. It’s in our differences that we will remain relentless in our pursuit to transform healthcare for ALL.
As an employer, we are committed to investing in your development and providing the necessary resources to enable your success. Learn how we are dedicated to creating an inclusive and rewarding workplace that promotes excellence and provides opportunities for employees to forge their unique career path by visiting our Company Culture (https://careers.bluecrossma.org/us/en/culturepage) page. If this sounds like something you’d like to be a part of, we’d love to hear from you. You can also join our Talent Community (https://careers.bluecrossma.org/us/en/jointalentcommunity?applyType=JTC) to stay “in the know” on all things Blue.
At Blue Cross Blue Shield of Massachusetts, we believe in wellness and that work/life balance is a key part of associate wellbeing. For more information on how we work and support that work/life balance visit our "How We Work (https://careers.bluecrossma.org/us/en/how-we-work) " Page.
Voted as the highest in member satisfaction among Massachusetts commercial health plans by JD Power , Blue Cross Blue Shield of Massachusetts is a community-focused, tax-paying, not-for-profit health plan headquartered in Boston. We have been a market leader for over 75 years, and are consistently ranked among the nation's best health plans. Our daily efforts are dedicated to effectively serving our 2.8 million members, and consistently offering security, stability, and peace of mind to both our members and associates.
Our Commitment to You
We are committed to investing in your development and providing the necessary resources to enable your success. We are dedicated to creating a refreshing and rewarding workplace that promotes excellence and provides opportunities for employees to forge their unique career path. We take pride in our diverse, community-centric, wellness-focused culture and believe every member of our team deserves to enjoy a positive work-life balance.
Blue Cross Blue Shield of Massachusetts is an Equal Employment / Affirmative Action Employer. Applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, veteran status, disability, sexual orientation, gender identity or expression, or any other characteristics protected by law.
Blue Cross Blue Shield of Massachusetts will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with Blue Cross Blue Shield of Massachusetts's legal duty to furnish information.