Job Details

Job DescriptionActs as a senior member of the strategic function by contributing to the achievement of innovation-based goals through new forms of pharmacy reimbursement, healthcare redesign consultation, payer/provider engagement and market offer opportunities. Leverages industry experience and expertise to promote enterprise understanding of the key areas in which the company is seeking to create competitive differentiation and establish sustainable competitive advantage in the marketplace.What You'll Do

• Proactively identify, analyze, and evaluate specialty pharmacy market dynamics, including drug pipeline trends (e.g., biosimilars and new market entrants), manufacturer strategies, pricing benchmarks, and sourcing models to inform unit cost and network strategies.
• Identify and support development of strategic sourcing opportunities that reduce specialty pharmacy unit cost, including alternative sourcing models, distribution strategies, and marketbased pricing approaches aligned with enterprise objectives.
• Support strategic planning, structured financial and qualitative analysis, and marketbased assessments to inform specialty pharmacy pricing assumptions, sourcing strategies, and contract decisions.
• Translate complex market intelligence and competitive insights into clear strategic implications and recommendations for internal stakeholders, including senior leadership.
• Present strategic insights, market analyses, pricing benchmarks, and impact assessments to internal audiences at all levels, including executive leadership.
• Collaborate with and support other departments across the enterprise on both common initiatives and unique ventures, acting as a subject matter expert to ensure market intelligence informs enterprise decision-making.
• Identify, analyze, and monitor industry, regulatory, technology, and market trends that influence specialty pharmacy pricing, sourcing economics, network strategy, and overall cost management.
• Engage with external vendors, consultants, and industry partners to gather insight, evaluate emerging solutions, and assess innovative sourcing or pricing models.
• Organize, synthesize, and communicate progress and findings across the strategic work portfolio to support alignment and informed decisionmaking.
• Utilize expertise to advance strategic insight and analysis capabilities, continuously improving how market intelligence is applied to strategy development.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.Our Hybrid Flex approach is builton presencewith a purpose - giving you flexibility to work remotely with intentional in-person connection - that supports a workplacethat'sflexible, connected, and future focused.In a Hybrid-Flex role,you'llwork in the office at least two days a week for collaboration and connection. In a Remote Flex role,you'llwork virtually, with a few in-office visits each year formeaningfulmoments 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 anystateslistedonthis job posting. Onsite expectations will be discussed during the interview process.Salary RangeAt 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 - $142,679.00SkillsHealthcare 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_____________________________________________________________________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 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.