[Hiring] Government Specialty Pharmacy Director @Blue Cross Blue Shield Association

Role Description

The Government Specialty Pharmacy Director provides strategic leadership and oversight for the specialty pharmacy benefit serving a large federal member population. It is also responsible for leading the overall administration, operational delivery, regulatory compliance, and program performance.

This leader serves as the enterprise owner of the specialty pharmacy benefit strategy for the Federal Employee Program, partnering with executive stakeholders, federal program leaders, and vendor partners to ensure optimal clinical outcomes, member experience, and program performance.

Success in this role requires strong account management skills, a deep understanding of specialty pharmacy benefits, and the ability to manage PBM and specialty pharmacy partners.

Qualifications

• Required Bachelor's Degree in Pharmacy, Health Care Administration, Business or related field; or equivalent experience
• Preferred Master's Degree MBA or PharmD preferred

Requirements

• 15+ Years Experience in account management, pharmacy benefit administration, PBM operations, specialty pharmacy, or federal health care program oversight
• Strong understanding of specialty benefit design, utilization management, clinical programs, and PBM operations
• Experience supporting, managing, or administering Federal programs (e.g., Federal Employee Program, TRICARE, VA, DoD, or other federally regulated healthcare benefits)
• Direct experience with the Federal Employee Program (FEP), OPM requirements, or similar federal benefit environments preferred
• Familiarity with specialty pharmacy workflows, prior authorization programs, and limited-distribution networks preferred
• Knowledge of federal regulatory requirements, audit standards, and healthcare program compliance preferred
• Demonstrated ability to manage large, complex accounts with multiple stakeholders
• Excellent communication, presentation, and executive-facing engagement skills
• Ability to interpret and translate pharmacy data into actionable insights
• Experience leading cross-functional projects or program implementations

Benefits

• Comprehensive package of benefits including paid time off
• 11 holidays
• Medical/dental/vision insurance
• Generous 401(k) matching
• Lifestyle spending account
• Annual bonus incentive pay