Facebook · 8 hours ago
AVP, Chief Pharmacy Officer
Columbia, South Carolina
Full-time
Onsite
Director/Executive
10+ years expBlueCross BlueShield of South Carolina is a leading insurance company with a long-standing presence in the community. The AVP, Chief Pharmacy Officer will oversee pharmacy formularies and clinical program initiatives, leading the development and execution of strategies for delivering pharmacy services while fostering strong relations with internal and external stakeholders.
Computer Software
Responsibilities
Directs, manages, and oversees all aspects of private business commercial and government pharmacy formulary and related clinical program initiatives
Leads and directs the development and execution of clinical management strategies for delivering pharmacy services
Develops pharmaceutical guidelines including but not limited to preferred drug lists, utilization management, formulary management, benefits management, and benefit designs
Directs pharmacy services rendered by PBMs, such as claims processing, PDL management, UM, and pharmacy trend
Oversees formulary management function
Fosters strong relations with internal departments and external providers and serves as pharmacy subject matter on variety of commercial and government internal and external committees and workgroups
Provides pharmacy support and documentation for contracting determinations
Evaluates customer requests and individual line of business needs
Coordinates proposal and grants requests for new pharmacy offerings
Reviews and adjusts contract to exclude no value added drugs
Coordinates with provider contracting on the pricing/fee schedules, and evaluates the impact to the network
Works directly with legal department on contractual language
Anticipates and responds to the needs of the customer organization related to pharmacy programs and facilitates the successful implementation of the program and retention of the customer
Leads the development of policies and procedures to ensure compliance with all corporate and government regulations
Responsible for assessing external pharmacy industry trends and developments that represent risk and opportunities for the organization
Develops short and long term plans to respond to potential risks and to capitalize on opportunities
Engages with senior leaders and key stakeholders to ensure the optimal utilization of technology and resources, to support the implementation of enterprise-wide pharmacy systems and processes
Directs the evaluation and refinement of the pharmacy program and related services provided by internal and external departments/entities
Ensures compliance with clinical goals of all pharmacy programs
Directs cost and benefits analysis for drugs, and evaluates the effectiveness of the programs and modifies programs as needed to achieve desired results in collaboration with pharmacy area leaders
Reviews prescribing guidelines and maintains expertise related to medications and best practices
Stays informed of additions and changes to medication options, release of generics, changes to prescribing guidelines and all other medical/clinical knowledge required
Contributes to the development of the clinical mission of pharmacy programs, including the development, implementation, and evaluation of clinical/medical aspects of pharmacy related initiatives
Monitors department performance and productivity
Manages budget to ensure cost effectiveness and performance quality
Assists marketing team with oversight of various materials and other required notifications
Qualification
Required
Bachelor's degree in a job related field
10+ years progressively responsible experience in the management of pharmacy services to include experience in hospital pharmacy setting and/or managed care experience
Active unrestricted Pharmacy licensure in state hired
Preferred
Practice experience working in a health plan pharmacy services, managed care pharmacy environment, and/or retail or hospital pharmacy service
Experience with financial aspects of pharmacy agreements including underwriting and structuring of deals
Experience with pharmacy services and pharmacy benefit management (PBM) contracting for delegated functions and services
Experience managing pharmacy teams or staff
Executive level presentation skills
Benefits
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
Education Assistance
Service Recognition
National discounts to movies, theaters, zoos, theme parks and more
Company
The Facebook company is now Meta. Meta builds technologies that help people connect, find communities, and grow businesses.
10001+ employees
H1B Sponsorship
Facebook has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2022 (942)
2021 (5811)
2020 (4476)
Funding
Current Stage
Late StageLeadership Team
Arunava Chatterjee
Executive Director of Ghost Black Operations & CEO & CTO
Shubhra Gupta
CEO
Recent News
Business Live
2025-11-03
2025-11-01
Company data provided by crunchbase