Director - Pharmacy Solutions

Des Moines, Iowa

Blue Cross and Blue Shield Association
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Company Description Why Wellmark: We are a mutual insurance company owned by our policy holders across Iowa and South Dakota, and we've built our reputation on over 80 years' worth of trust. We are not motivated by profits. We are motivated by the well-being of our friends, family, and neighbors-our members. If you're passionate about joining an organization working hard to put its members first, to provide best-in-class service, and one that is committed to sustainability and innovation, consider applying today. Learn more about our unique benefit offerings here. Want to know more? You can learn about life at Wellmark here. Job Description Use your strengths as a Director of Pharmacy Solutions at Wellmark. About the role: As Director of Pharmacy Solutions, you will be a true change leader and help guide the vision and direction of the pharmacy solutions strategy to meet and improve client optionality that positions Wellmark as the leader in integrated health and pharmacy benefit management (PBM). You will own pharmacy solutions from development through implementation and delivery to the market. You will build, monitor and maintain vendor relations and contracts, such as with the PBM. You will create cross functional alignment and engagement within the department and across the organization to develop and meet key metrics for our clients. You will drive the connection of solutions into the legal and regulatory communication process, as well as the marketing process, to support sales efforts. You will lead, mentor, and build an evolving team of insightful, forward-thinking, data-driven pharmacy solution colleagues. You will encourage proactive solutions to innovate and drive new cost-effective and/or growth-focused ways to promote Wellmark. About you: You believe health care can be better and are passionate about finding ways to influence our work centered around total cost of care. You are proactive, analytical, innovative, influential, and partner effectively with internal and external stakeholders. The unknown and opportunity to build something from scratch excites you, because to you it is just another challenge to overcome on the path of rewarding, strategic work. You're an experienced people-leader who believes mentorship and team member growth is the key to success. You leverage your teams' strengths and subject matter expertise to drive results. You love to teach and understand the benefits of transparent, dedicated leadership, because your team members' individual achievements mean success for Wellmark. This position will work a hybrid schedule of at least 3 days in Wellmark's Des Moines office, with 2 days remote option. As a leader, there may be additional days in the office to meet business needs. Qualifications Required: Bachelor's degree, or direct and applicable work experience. Minimum 7 years of combined experience in product development, product management, sales or related role, with demonstrated financial acumen, including an understanding of underwriting, financial metrics, etc. Prior experience should reflect the ability to build, implement, and drive forward product strategies that achieve bottom-line results. Health care or related industry experience, including knowledge of health insurance products, benefit design, etc. Demonstrated leadership experience, including building/developing high performing leaders and leaders of teams that consistently deliver value-added results. Experience demonstrating effective resource management/planning, budgeting, forecasting and strategic planning. Critical thinking, analytical problem solving and workflow management skills; demonstrated ability to develop understanding and appreciation for upstream and downstream impacts in processes. Highly effective analytical skills, business intuition, and demonstrated proficiency distilling large amounts of information into the most relevant insights. Strong verbal and written communications skills with the ability to successfully share insights or recommendations with stakeholders, including senior leadership. Ability to develop and facilitate presentations. Outstanding collaboration skills with the ability to influence, solicit cooperation and action from others and the ability to collaborate with business and technical leaders to educate and gain understanding and buy-in. Knowledge of current and future customer needs, including the ability to problem solve and translate needs into competitive products and services. Ability to develop and deliver programs/projects from concept through implementation. Skilled at ensuring quality, time, and stakeholder expectations are met while maintaining alignment with strategy. Ability to measure and evaluate work processes, services, and products to ensure alignment with strategic goals. Ability to re-design or improve processes as needed. Some travel required. Preferred: PharmD. If PharmD, will need an active & unrestricted Pharmacy license in Iowa or South Dakota (individual must be licensed in the state in which they reside) or ability to obtain within 6 months from the date of hire. Master's degree or industry certification. Additional Information What you will do as a Director of Pharmacy Solutions: a. Lead in the execution, planning, and delivery of pharmacy strategy & solutions and ensure alignment to commercial and Exchange products, to enable leverage and differentiation in the market while providing a total benefit solution for the life of a member. b. Drive collaboration, organization, prioritization of critical work functions, and engagement across matrixed workgroups and teams to lead and coordinate large complex projects to deliver our product roadmaps from development, implementation and client consulting and support. c. Exercise direction and leadership for the pharmacy team members accountable for developing, pricing, naming, creating market position and packaging of Wellmark's pharmacy products that, in turn, support Wellmark and divisional strategy and goals. d. Provide direction and leadership for the pharmacy team members responsible for supporting market intelligence, marketing, sales, and client support. e. Support other business areas and lead the analytical and financial framework within the pharmacy team to identify practical and meaningful business improvement opportunities across our product and solutions portfolio and functional capabilities. f. Provide day-to-day leadership of financial and human resources, primarily focusing on employee and leader coaching, development, performance improvement, coordination and budgeting for multiple staff, and department(s) specific functions/services. Drive and produce results that are effective, accurate, and timely. Align work with department strategy and performance improvement plans. g. Leverage insights, data, and competitive intelligence to track and monitor pharmacy solution performance. Facilitate the identification and connection to the portfolio of solutions in our product catalogue and work to drive to the solutions on our future roadmap. h. Serve as a key liaison and customer interface for Wellmark's pharmacy program. Build strong relationships and closely partner and consult with Sales, Product, Segment Planning and Performance, Client Consulting, Member Experience, Communications, and other internal stakeholders to drive continued alignment of development and implementation as well as to ensure successful activation for and with sales. i. Ensure compliance with our commercial and government lines of business by understanding rules and regulations impacting our business at the state and federal level. Facilitate the necessary connections to the legal and regulatory communication process as well as the marketing process to support sales efforts. j. Partner and execute in vendor relationships. Accountable for managing vendor relationships and ensuring alignment with Wellmark's pharmacy strategy and enhancing the customer experience. k. Maintain awareness of industry trends, best practices, and evolving technologies to ensure cost-effective solutions while enabling continuous innovation and championing the for the member experience. l. Other duties as assigned. This job requires a non-compete agreement. An Equal Opportunity Employer The policy of Wellmark Blue Cross Blue Shield is to recruit, hire, train and promote individuals in all job classifications without regard to race, color, religion, sex, national origin, age, veteran status, disability, sexual orientation, gender identity or any other characteristic protected by law. Applicants requiring a reasonable accommodation due to a disability at any stage of the employment application process should contact us at
Date Posted: 27 April 2024
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