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Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than seven decades we’ve been part of the national landscape, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina … and much more. We are one of the nation’s leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies that allows us to build on a variety of business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team!Description
Position Purpose:
Support the Director of Pharmacy Administration and Oversight by executing all aspects of the contract management process, including production and oversight of PBM Addenda and Non-Disclosure Agreements, coordination of self-fund group pharmacy audit activities and requests for market check evaluations, and/or activities required to support the contract management and oversight for the Corporate PBM Agreements and/or other Pharmacy Services vendor Agreements. Serve as primary point of contact for pharmacy related legal documents, rate/pricing management and other related needs. Will also assist with contract terms and ensures all parties are accountable for their role in the business development and contracting process.
Logistics:
This is a full-time position working (40-hours/week) Monday-Friday 8:00am – 5:00pm. Local candidates will work on-site three days a week at 4101 Percival Rd Columbia SC and two days working from home. May consider 100% remote for the right candidate.
What You'll Do:
- Review, develop, redline, and negotiate Corporate PBM Agreements, Addenda and Amendments, Pharmacy Services vendor Agreements and/or PBM
- Addenda for self-funded commercial clients across the Enterprise, in cooperation with management, legal, internal stakeholders, and external business partners. Negotiate rates, value adds, service level agreements (SLA) and other legal and business terms.
- Review, develop, redline, and negotiate third-party vendor contracts, including Master Service Agreements (MSA), Statement of Work (SOW), Non-Disclosure Agreements (NDA) and amendments in cooperation with legal, internal stakeholders, and external business partners. Negotiate rates, value adds, service level agreements (SLA) and other legal and business terms.
- Conduct and oversee oversight programs to measure on-going compliance with Corporate PBM Agreement, Pharmacy Services vendor Agreements and/or PBM Addenda for self-funded commercial clients across the Enterprise, in cooperation with management, legal, internal stakeholders, and external business partners.
- Partner with Legal, Finance, Books and Contracts and other business units to minimize and mitigate risk. In collaboration with internal stakeholders, develop and lead, key supplier Quarterly Business Review (QBR) process.
- Ensure compliance with all government regulations and internal policies and procedures.
- Create project plans to manage and execute all assigned projects.
To Qualify for this position, You'll Need:
- Bachelor's OR 4 years job related work experience or Associate's and 2 years job related work experience.
- 5+ years in the pharmacy retail industry, payer relations experience, or drug supply chain/PBM.
- 3 years contracting analytics experience (may be concurrent)
- Advanced knowledge of pharmacy business support and systems concepts.
- Able to communicate persuasively and successfully with technical and non-technical audiences, including the ability to express complex technical and business concepts to management, peers, and the business units.
- Strong resource management, and interpersonal skills.
- Strong analytical and conceptual skills. Demonstrated understanding of how projects and implementations affect an organization and can successfully link it to business processes.
- Microsoft Office.
What we Prefer you to have:
- Bachelor's degree
- 8+ years in the pharmacy retail industry, payer relations experience, or drug supply chain/PBM.
- 5+ years contracting analytics experience (may be concurrent).
- Paralegal experience is a plus.
- Advanced Microsoft Excel
What We can Do for You:
We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment.
- Subsidized health plans, dental and vision coverage
- 401K retirement savings plan with company match
- Life Insurance
- Paid Time Off (PTO)
- On-site cafeterias and fitness centers in major locations
- Wellness program and healthy lifestyle premium discount
- Tuition assistance
- Service recognition
- Employee Assistance
- Discounts to movies, theaters, zoos, theme parks and more
What to Expect Next:
After submitting your application, our recruiting team members will review your resume to ensure your meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. If the qualifications required proof of semester hours, please attach your transcript to your application.
Management will be conducting interviews with the most qualified candidates, with prioritization give to those candidates who demonstrate the preferred qualifications.
We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer.
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Equal Employment Opportunity Statement
BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains Affirmative Action programs to promote employment opportunities for minorities, females, disabled individuals and veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.
We are committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities.
If you need special assistance or an accommodation while seeking employment, please e-mail mycareer.help@bcbssc.com or call 1-800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.
