Top 6 Director of pharmacy Jobs in San Francisco, Ca

Director, Pharmacy Operations
Blue Shield of California —Oakland, CA
- $160,160 - $240,460 a year
- Full-time
- Hybrid work
- Background check
- 6 years
- Pass drug screening
- Work from home
SYSTEMWIDE PHARMACY SPECIALTY OPERATIONS DIRECTOR
University of California Office of the President —Oakland, CA
- $245,000 - $265,000 a year
- Full-time
- Hybrid work
- Background check
- Word processing
- Writing skills
Sr. Director, Pharmacy - Prior Authorization & Call Center
Blue Shield of California —Oakland, CA
- $212,630 - $318,890 a year
- Full-time
- Hybrid work
- Background check
- 6 years
- Pass drug screening
- Work from home
Region Sales Director, West - Pharmacy Automation
San Diego, CA —San Francisco, CA
- $90,000 - $100,000 a year
- Bachelor of Science
- Mid-level
- Bachelor's degree
- Health insurance
- Dental insurance
Senior Director- Pharmacy Financial, Actuarial and Analytics Consulting
WTW —San Francisco, CA
- Full-time
- Microsoft Excel
- Analysis skills
- Bachelor's degree
- Paid jury duty
- Health savings account
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Director, Pharmacy Operations

Blue Shield of California -
Oakland, CA

Apply Now

Job Details

Full-time
$160,160 - $240,460 a year

Benefits

Work from home

Qualifications

Vendor relationship building
Medical claims processing
Research
Health insurance knowledge
Vendor relationship management
Leading team collaboration initiatives
Managing insurance claims teams
Pharmacy operations
Senior leadership

Full Job Description

Your Role

The Pharmacy Operations team provides management and end-to-end oversight of Pharmacy operations, incident management, and driving resolution from identification to resolution within a matrixed environment. The Director, Pharmacy Operations will report to the Senior Vice President / Chief Pharmacy Officer. In this role you will lead a team who are responsible for providing excellent pharmacy operations services, resolving pharmacy-related incidents, providing pharmacy expertise for members and clients, developing business requirements for incident resolution and project implementation, providing vendor oversight over operations and leading annual pharmacy benefit implementations.

Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow – personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.

Your Work
In this role, you will:

Lead a team to track and drive accurate, timely and exceptional pharmacy benefit operations for all lines of businesses. The scope includes but not limited to pharmacy benefit claims processing, integrated accumulators, pharmacy networks, annual pharmacy benefit implementation and business requirements development and maintenance
Monitor ongoing performance and drive solutioning and timely resolution of issues that may involve multiple vendors, including information technology (IT), claims processing, retail, home delivery, and specialty pharmacies
Provide accurate and timely pharmacy benefit research and consultative services to support escalated pharmacy-related questions from members and employer group clients
Develop end-to-end performance metrics and measurements to monitor, report, and explain pharmacy operations performance to internal stakeholders
Lead, drive and/or negotiate with vendors and teams where necessary to facilitate development of timely and thorough work plan to resolve operational issues, support benefit implementation, and adherence to contract requirements and expectations
Mentor a team of managers, supervisors, and individual contributors and build a high performing workplace to do meaningful work

Your Knowledge and Experience

Requires a college degree or equivalent experience
Requires 10 years of health plan and/or pharmacy benefit manager (PBM) operations experience
Requires 6 years of experience managing teams in pharmacy claims processing, pharmacy benefit implementation, and vendor management
Requires excellent written and verbal communication skills. Experience and skills in presenting complex operational subjects to executive and non-technical audiences is preferred

Hybrid

This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into the office two days each week.

Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need.

#LI-JS1

ABOUT THE TEAM
About Blue Shield of California

As of January 2025, Blue Shield of California became a subsidiary of Ascendiun. Ascendiun is a nonprofit corporate entity that is the parent to a family of organizations including Blue Shield of California and its subsidiary, Blue Shield of California Promise Health Plan; Altais, a clinical services company; and Stellarus, a company designed to scale healthcare solutions. Together, these organizations are referred to as the Ascendiun Family of Companies.

At Blue Shield of California, our mission is to create a healthcare system worthy of our family and friends and sustainably affordable. We are transforming health care in a way that genuinely serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience.

To achieve our mission, we foster an environment where all employees can thrive and contribute fully to address the needs of the various communities we serve. We are committed to creating and maintaining a supportive workplace that upholds our values and advances our goals.

Blue Shield is a U.S. News Best Company to work for, a Deloitte U.S. Best Managed Company and a Top 100 Inspiring Workplace. We were recognized by Fair360 as a Top Regional Company, and one of the 50 most community-minded companies in the United States by Points of Light. Here at Blue Shield, we strive to make a positive change across our industry and communities – join us!

Our Values:

Honest. We hold ourselves to the highest ethical and integrity standards. We build trust by doing what we say we're going to do and by acknowledging and correcting where we fall short.
Human. We strive to listen and communicate effectively, showing empathy by understanding others' perspectives.
Courageous. We stand up for what we believe in and are committed to the hard work necessary to achieve our ambitious goals.

Our Workplace Model

We believe in fostering a workplace environment that balances purposeful in-person collaboration with flexibility - providing clear expectations while respecting the diverse needs of our workforce. Our workplace model is designed around intentional in-person interaction, collaboration, connection, creativity and flexibility:

For most teams, this means coming into the office two days per week.
Employees living more than 50 miles from an office location, out of state employees, and employees in certain member-facing roles should work with their manager to determine in-office time based on business need.
For employees with medical conditions that may impact their ability to work in-office, we are committed to engaging in an interactive process and providing reasonable accommodations to ensure their work environment is conducive to their success and well-being.

The Company reserves the right to require more presence in the office based on business needs, and requirements are subject to change with periodic reviews.

Physical Requirements:

Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day.

Equal Employment Opportunity:

External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.

Apply Now

Refine Your Search

director of pharmacy jobs in san francisco, ca

Director, Pharmacy Operations

SYSTEMWIDE PHARMACY SPECIALTY OPERATIONS DIRECTOR

Sr. Director, Pharmacy - Prior Authorization & Call Center

Region Sales Director, West - Pharmacy Automation

Senior Director- Pharmacy Financial, Actuarial and Analytics Consulting

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