[Hiring] Pharmacy Analyst II @BlueCross BlueShield of Tennessee

Role Description

The Pharmacy Management at BlueCross BlueShield of Tennessee (BCBST) is seeking a motivated, detail-oriented Pharmacy Analyst II to join our team and support pharmacy operations across Commercial and Marketplace lines of business. In this role, you’ll play a critical part in PBM (Pharmacy Benefit Manager) 1/1 readiness by ensuring pharmacy benefits are accurately configured and validated before go-live, while also investigating service disruptions, driving process improvements, and coordinating cross-functional initiatives with clinical, IT, finance, and vendor partners. This position requires strong critical thinking, attention to detail, and the ability to navigate complex environments—helping protect member experience and support regulatory compliance across real-time claims operations.

Success in this role requires:

• Demonstrated experience supporting or overseeing healthcare contracts, with the ability to interpret and apply benefit and reimbursement terms.
• Strong analytical capabilities, including running reports, validating data, and researching complex operational issues.
• Prior experience working with a Pharmacy Benefit Manager (PBM), including auditing, benefit validation, or claims review.

Note: This is a fully remote role, but travel to our Chattanooga, TN headquarters for final interviews may be required. Sponsorship is not available for this position.

At BCBST, we foster a culture where innovation is encouraged, including the responsible use of AI-enabled tools to support everyday work. As roles become more advanced, employees are expected to leverage AI, guided by established workflows, templates, and policies, to improve how we serve our members.

Qualifications

• Bachelor’s degree or equivalent work experience required. Equivalent work experience is defined as 4 years of professional work experience.
• Minimum 4 years Healthcare Industry experience required.
• Minimum 3 years of experience in a related field such as operations, technical, project management, product or other related field required.

Requirements

• Ability to evaluate programs and operational processes.
• Skill in issue investigation and structured problem-solving.
• Expertise in workflow improvement and efficiency enhancements.
• Strength in coordinating initiatives across internal teams.
• Capability to ensure compliance with regulatory standards.

Company Description