Job Overview
Location
USA, TN, Chattanooga, Remote
Job Type
Full-time
Category
HR & Recruiting
Date Posted
May 10, 2026
Full Job Description
đź“‹ Description
- • The Pharmacy Analyst II plays a critical role in supporting pharmacy operations across Commercial and Marketplace lines of business at BlueCross BlueShield of Tennessee, ensuring pharmacy benefits are accurately configured and validated for PBM 1/1 readiness while protecting member experience and supporting regulatory compliance.
- • Day to day, the role involves implementing business strategies, leading investigations into service disruptions, collaborating on process improvements, coordinating cross-functional initiatives with clinical, IT, finance, and vendor teams, maintaining compliance knowledge, sharing knowledge in team sessions, and managing project workstreams to align with pharmacy objectives.
- • BlueCross BlueShield of Tennessee fosters a culture of innovation where AI-enabled tools are encouraged to improve member service, and the company is committed to equal opportunity employment without regard to protected characteristics.
- • The person in this role can develop expertise in pharmacy benefit management, strengthen analytical and problem-solving skills, gain experience in cross-functional coordination and process improvement, and grow professionally through knowledge sharing and project leadership in a healthcare PBM environment.
🎯 Requirements
- • Bachelor’s degree or equivalent work experience (4 years of professional work experience)
- • Minimum 4 years of Healthcare Industry experience
- • Minimum 3 years of experience in operations, technical, project management, product, or related field
- • Demonstrated experience supporting or overseeing healthcare contracts with ability to interpret and apply benefit and reimbursement terms
- • Prior experience working with a Pharmacy Benefit Manager (PBM) in auditing, benefit validation, or claims review
- • Strong analytical capabilities including running reports, validating data, and researching complex operational issues
Skills & Technologies
About BlueCross BlueShield of Tennessee
BlueCross BlueShield of Tennessee is the largest health-benefit plan company headquartered in the state, providing medical, dental, vision, and Medicare Advantage coverage to individuals, employers, and government programs. Founded in 1945 as a nonprofit mutual insurance company, it administers benefits for more than 3 million members through statewide provider networks, care-management programs, and digital health services. The company also engages in community health initiatives, preventive-care outreach, and value-based reimbursement models to improve outcomes and manage costs across Tennessee.
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