Senior Clinical Pharmacist

We’re hiring a Senior Clinical Pharmacist to join the Commercial Pharmacy department. You will plan, coordinate, and manage the clinical delivery of pharmaceutical benefits and services to BCBSNC subscribers. Work collaboratively with Medical Directors in implementing pharmacy programs, including drug utilization review, academic detailing, formulary compliance, generic substitution, clinical case management, and physician report cards.

What You’ll Do

• Develop and implement clinical pharmacy strategies that achieve high-quality, cost-effective pharmacy management and outcomes.
• Analyze, report, and coordinate clinical programs with Health Care Management and Health Care Services Development to optimize long-term access to high‑quality, cost‑efficient pharmacy providers.
• Report on pharmacy project performance relative to clinical indicators.
• Manage and support Academic Detailing programs, conducting site visits as necessary and participating in provider network education.
• Develop, implement, and manage managed care programs such as prior authorization and quantity limitation programs to meet plan goals.
• Ensure clinical compliance with law and regulatory bodies, representing pharmacy programs before bodies such as the North Carolina Department of Insurance and the National Committee for Quality Assurance, and maintain formulary compliance programs.
• Develop educational materials, newsletters, member and provider talking points, and disseminate clinical information for internal and external audiences.
• Pursue active membership in professional organizations and seek continual professional development to identify industry trends, best practices, and innovative solutions.
• Manage the organization’s participation in Medicare Part D.

What You Bring

• Bachelor's degree or advanced degree.
• 5+ years of experience in a related field (or 7+ years in lieu of a degree).
• Licensed pharmacist or eligibility for licensure in North Carolina.

Bonus Points (Preferred Qualifications)

• Strong communication and interpersonal skills.
• Excellent time management and organizational abilities.
• Proficiency in working with internal and external stakeholders.
• Proficiency with Microsoft Office Suite, including PowerPoint.
• Experience creating and delivering professional presentations.
• Community pharmacy experience preferred.

What You’ll Get

• Work at the cutting edge of health care delivery with a team focused on community engagement.
• Work‑life balance, flexibility, and autonomy.
• Medical, dental, and vision coverage plus health and wellness programs.
• Parental leave, adoption and surrogacy assistance.
• Career development programs and tuition reimbursement.
• 401(k) match with annual company contribution.

Where You’ll Work

The role is Hybrid Flex or Remote Flex. In Hybrid Flex you’ll work in the office at least two days a week; in Remote Flex you’ll work virtually with occasional in‑person visits. Location is flexible and can be outside the Durham area.

Salary Range

From $118,691.00 to $189,906.00. Base salary is part of a robust total rewards package that includes an annual incentive bonus, 401(k) with employer match, paid time off, and competitive health benefits.

Note About Job Alerts

We have become aware of scams claiming to represent Blue Cross and Blue Shield of North Carolina. Hiring does not require text‑based conversations, interviews, or payment. All legitimate opportunities appear on our official career site. If you suspect fraudulent activity, report it to local authorities or contact HR.Staffing@BCBSNC.com.