Job Duties & Responsibilities

Interface with other corporate line of business through problem resolution while demonstrating a high knowledge level of pharmacy benefits, policies, , including claim processing rules and clinical programsCollaborate with internal resources, external partners/vendors to support the identification/prioritization of pharmacy solutions to drive problem resolution and prevent medication and regulatory compliance risksCreate internal processes that improve workflow efficiency, identify opportunities and lead in the development of recommendations and develop resources to efficiently and effectively fulfill pharmacy clinical and quality initiativesDevelop, document, and maintain processes and procedures for day-to-day management of pharmacy 

Job Qualifications

Education

Bachelor’s degree or equivalent work experience required. Equivalent work experience is defined as 4 years of professional work experience.. 

Experience

2 years of experience in a health care driven industry required2 years of experience in a related field such as operations, technical, project management, product or other related field required

Skills/Certifications

Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint)Excellent oral and written communication skillsStrong interpersonal and organizational skillsMust be a team player, be organized and have the ability to handle multiple projectsDemonstrated project management skillsPossess strong analytical, technical, and decision making skillsAbility to meet schedule deadlines and departmental goalsAbility to work independently with minimal supervision or function in a team environment sharing responsibility, roles, and accountabilityMust possess ability to maintain professional relationship with vendors and other external partners

Number of Openings Available:

1

Worker Type:

Employee

Company:

BCBST BlueCross BlueShield of Tennessee, Inc.

Applying for this job indicates your acknowledgement and understanding of the following statements:

BCBST is an Equal Opportunity employer (EEO), and all employees and applicants will be entitled to equal employment opportunities when employment decisions are made. BCBST will take affirmative action to recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law.

Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page:

BCBST's EEO Policies/Notices

BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.

Tobacco-Free Hiring Statement

To further our mission of peace of mind through better health, effective 2017, BlueCross BlueShield of Tennessee and its subsidiaries no longer hire individuals who use tobacco or nicotine products (including but not limited to cigarettes, cigars, pipe tobacco, snuff, chewing tobacco, gum, patch, lozenges and electronic or smokeless cigarettes) in any form in Tennessee and where state law permits. A tobacco or nicotine free hiring practice is part of an effort to combat serious diseases, as well as to promote health and wellness for our employees and our community. All offers of employment will be contingent upon passing a background check which includes an illegal drug and tobacco/nicotine test.  An individual whose post offer screening result is positive for illegal drugs or tobacco/nicotine  and/or whose background check is verified to be unsatisfactory, will be disqualified from employment, the job offer will be withdrawn, and they may be disqualified from applying for employment for six (6) months from the date of the post offer screening results.

Resources to help individuals discontinue the use of tobacco/nicotine products include smokefree.gov or 1-800-QUIT-NOW.