We're seeking a Director, Part D Stars Strategy to join our Government Pharmacy Programs Department. The Director, Part D Stars Strategy, is responsible for driving the day to day strategy, execution, and performance management of Medicare Part D Star Ratings. This role serves as the operational and analytical lead for Part D Stars, translating CMS requirements and performance insights into actionable improvement initiatives that support the organization’s goal of achieving and sustaining 4+ Star performance.
You will partner closely with Pharmacy Operations, Analytics, PBM Partners, Product, and Stars team, and plays a critical role in enabling informed decision making through data analytics, forecasting, segmentation, and program oversight. The Director will also lead our internal Quality & Stars team, overseeing team performance, professional development, progress against goals, and ensuring attainment of Part D Stars targets.
What You'll Do
Part D Stars Strategy & Execution
Analytics, Reporting & Forecasting
Cross‑Functional Collaboration
What You Bring
Bonus Points(Preferred Qualifications)
What You'll Get
Where You’ll Work
Salary Range
At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs.
*Based on annual corporate goal achievement and individual performance.
$157,978.00 - $252,765.00
Skills
Clinical Process Improvement, Healthcare Management, Managed Care, Medicare Regulations, Medication Management, Pharmaceutical Industry, Pharmacy, Pharmacy Benefits Management (PBM), Pharmacy Compliance, Pharmacy Management, Pharmacy Operations, Policy Development, Quality Care, Quality Management, Regulatory Compliance, Specialty Pharmacies
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It's an exciting time to work at Blue Cross and Blue Shield of North Carolina (Blue Cross NC). Health care is changing, and we're leading the way. We offer more than health insurance our customers can count on. We’re committed to better health and better health care − in our communities and beyond. Our employees bring energy and creativity to the workplace, and it shows in our innovative approach to improving the health and well-being of North Carolinians.
Blue Cross NC is a fully taxed, not-for-profit company headquartered in Durham, North Carolina. We serve more than 4.3 million members, and we employ more than 5,000 people across the country who are passionate about making health care better for all.
Help us lead the charge for better health care by joining our award-winning team. Discover tremendous opportunities with us to do challenging and rewarding work. Opportunities that can lead you to a fulfilling career, work that can help others lead healthier, happier lives.
Blue Cross NC is an independent licensee of the Blue Cross and Blue Shield Association.
