Director Pharmacy Compliance (Financial/Auditing)

Key Responsibilities Manage day‑to‑day pharmacy financial and audit operations. Serve as primary contact for accounting issues and work closely with internal and external auditors. Act as the internal subject matter expert on pharmacy financial operations, directing projects and initiatives to develop strategic recommendations. Oversee financial aspects of over $6billion in yearly drug spend and ensure vendor compliance with contractual performance guarantees. Act as liaison to vendors and stakeholders, evaluating health‑care legislation, business trends, and providing financial controls oversight. Direct cross‑functional teams to enhance Pharmacy Benefit Manager compliance and negotiate favorable contracts. Coordinate with local plan divisions on waste, fraud, and abuse efforts. Manage bi‑weekly check writes for drug spend and maintain vendor interactions. Serve as liaison and subject matter expert to industry stakeholders, government agencies and industry representatives. Qualifications Bachelor’s Degree in Pharmacy, Business, Economics, Management of Health Services, or equivalent work experience. 7+ years of business experience in a national health‑care and managed pharmacy delivery system. Leadership experience with project/program management, setting priorities, and achieving objectives. Advanced knowledge in financial accounting, controls, auditing, customer services, claims processing, market research, benefits delivery, quality assurance, and contract administration. Strategic thinking and ability to build organized strategies related to department/divisional goals. Strong stakeholder management and ability to reconcile competing interests. Highly motivated, collaborative, and excellent written and oral communication skills. Proficiency in information technologies (e.g., Microsoft software applications). Preferred Certifications CPHM – Certified Professional in Healthcare Management (AIHM) CMA – Certified Management Accountant CPA – Certified Public Accountant Compensation and Benefits Salary range: $113,572.92 – $153,590.12. This role is eligible for an annual bonus incentive. Comprehensive benefits include paid time off, 11 holidays, medical/dental/vision insurance, generous 401(k) matching, and a lifestyle spending account. #J-18808-Ljbffr 001_BCBSA Blue Cross and Blue Shield Association