RemoteMatch
Blue Cross NC100% Remote

Sr Strategic Advisor, Specialty Pharmacy Networks

Employment

Full-time

Remote Scope

US

Date Posted

Oct 31, 2026

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About the Role

Job Description Acts as a senior member of the strategic function by contributing to the achievement of pharmacy affordability goals through specialty pharmacy network design, contracting strategy, network optimization, and innovative market-based pricing approaches. Leverages industry experience and expertise to evaluate emerging market opportunities, develop and implement network-based cost reduction strategies, and promote enterprise understanding of specialty pharmacy market dynamics to create sustainable competitive advantage and long-term affordability improvements. Proactively identify, analyze, evaluate, and implement specialty pharmacy network strategies, reimbursement models, and contracting opportunities that support affordability goals while maintaining member access, provider relationships, and regulatory compliance. Develop and execute specialty pharmacy network optimization strategies, including network design, performance management, pricing approaches, participation requirements, and market-based reimbursement methodologies. Support strategic planning, structured financial and qualitative analysis, business case development, and network evaluations to inform contracting decisions, network investments, and affordability initiatives. Translate complex network, reimbursement, and market dynamics into clear strategic recommendations and actionable plans for internal stakeholders, including senior leadership. Present network strategies, performance metrics, afford

Required Skills & Technologies

Strategic-AdvisorySpecialty-PharmacyHealthcare-StrategyNetwork-StrategyManaged-CareSenior-Specialty-Strategy-ManagerSenior-Pharmacy-Advisor
Link verified: 10/31/2026

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