Blue Cross NC

Senior Strategic Advisor, ASO Pharmacy Financials

Blue Cross NC  •  $89k - $143k/yr  •  North Carolina (Remote)  •  3 days ago
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Job Description

We’re hiring a Senior Strategic Advisor, ASO Pharmacy Financials to join the ASO Pharmacy Business and Market Development Team. You will act as a senior member of the strategic function by contributing to the achievement of retaining ASO target margins through tracking of the ASO Pharmacy P & L. You will also manage the ASO Pharmacy rebate tracking and client distribution process, as well as ASO client pricing guarantee reconciliations.

What You’ll Do

  • Track and manage rebate guarantees throughout the contract year.

  • Perform client ASO rebate distribution calculations in accordance with contract terms.

  • Monitor and analyze discount performance for ASO clients.

  • Reconcile rebate and pricing guarantees to contractual commitments.

  • Calculate program fees and communicate amounts to Finance for billing execution.

  • Coordinate pharmacy commission payments.

  • Create model for tracking ASO Pharmacy P&L.

  • Support and manage development efforts related to the enhancement and maintenance of our current products and market offer components.

  • Collaborate and execute critical activities such as strategic planning, complex financial/qualitative analysis and thought leadership at a departmental and enterprise level.

  • Present information such as strategic concepts, planning data, d and impact assessments to both internal and external audiences at all levels, including senior-level leadership.

  • Organize, optimize and communicate progress towards the completion of overall work portfolio.

  • Collaborate with and support other departments across the enterprise on both common initiatives and unique ventures, acting as a subject matter expert for healthcare delivery transformation and strategy.

  • Utilize expertise to identify operational improvements with new analysis/reporting capabilities, project management techniques and/or consulting/engagement approaches.

What You Bring

  • Bachelor's degree or advanced degree (where required)

  • 5+ years of experience in related field.

  • In lieu of degree, 7+ years of experience in related field.

Bonus Points (preferred qualifications)

  • Advanced proficiency in Microsoft Excel

  • Experience in sales support and consultation is a plus. Examples might include roles where you provided strategic advice to sales teams or consulted on healthcare redesign projects.

  • Familiarity with pharmacy pricing concepts is desirable. Experience could include working with pharmacy benefit managers or analyzing drug pricing strategies.

  • Prior experience in pharmacy or PBM environments, preferably in a finance-related role

  • Demonstrated ability to work effectively in a cross‑functional environment and build strong, collaborative relationships with cross-functional partners.

What You’ll Get

  • The opportunity to work at the cutting edge of health care delivery with a team that’s deeply invested in the community

  • Work-life balance, flexibility, and the autonomy to do great work

  • Medical, dental, and vision coverage along with numerous health and wellness programs

  • Parental leave and support plus adoption and surrogacy assistance

  • Career development programs and tuition reimbursement for continued education

  • 401k match

Where You’ll Work

Our Hybrid Flex approach is built on presence with a purpose – giving you flexibility to work remotely with intentional in-person connection – that supports a workplace that’s flexible, connected, and future focused.

In a Hybrid-Flex role, you’ll work in the office at least two days a week for collaboration and connection. In a Remote Flex role, you’ll work virtually, with a few in-office visits each year for meaningful moments that matter.

Whether your role is Hybrid Flex or Remote Flex depends on the nature of the work and distance from our Durham headquarters. We welcome candidates from outside the local area and in any states listed on this job posting. Onsite expectations will be discussed during the interview process.

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.

$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

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JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All our career opportunities are published on https://bcbsnc.wd5.myworkdayjobs.com/en-US/BCBSNC If you have already provided your personal information that you suspect is fraudulent activity, please report it to your local authorities. Any fraudulent activity should be reported to: HR.Staffing@BCBSNC.com

Blue Cross NC

About Blue Cross NC

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.

Industry
Finance & Insurance
Company Size
5,001-10,000 employees
Headquarters
Durham, NC
Year Founded
1933
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