With pharmacy benefits being an essential component of the medical benefits, Pharmacy Care Reimagined is a critical Blue Shield of California initiative along with other Health Care Reimagined initiatives. The Pharmacy Care Reimagined goal is to enable every person with safe, equitable access to sustainably affordable prescription drugs. To enable our vision, we believe pharmacy benefits need to be simpler, more transparent, and more affordable. Staying with the status quo will not allow us to d... more details
Your Role
With pharmacy benefits being an essential component of the medical benefits, Pharmacy Care Reimagined is a critical Blue Shield of California initiative along with other Health Care Reimagined initiatives. The Pharmacy Care Reimagined goal is to enable every person with safe, equitable access to sustainably affordable prescription drugs. To enable our vision, we believe pharmacy benefits need to be simpler, more transparent, and more affordable. Staying with the status quo will not allow us to deliver on our mission.
Blue Shield of California is looking for a full-stack application developer to join our Software Engineering and Solution Delivery organization. The Application Developer, Consultant will report to the Digital Technologies Center of Excellence and support the Health Solutions IT Portfolio Pharmacy Reimagined virtual PBA model as described below.
To accelerate transformational change, BSC desires to enable a “virtual PBA model” which involves the best-in-class Service Providers in five key functional areas: A. Claims processing and benefit administration, B. Retail network contracting and management, C. Home delivery pharmacy services, D. Specialty pharmacy services and E. Pharmaceutical contracting and administration. These Service Providers will integrate with BSC’s information systems to provide seamless and coordinated pharmacy benefits to close to 2.4 million pharmacy members in Commercial and Medicare lines of business.
The candidate will be the subject matter expert for the Pharmacy business service. This individual will build/develop integrations for various platforms and serve as the expert developer responsible for assuring real-time solutions built within the portfolio are highly secure and robust. This includes effective communication & influence of IT, business, and vendor partners to provide solutions that optimize cost, quality, security, and fit for purpose.
Your Work
In this role, you will:
- Design and develop quality user interfaces, and application programs using technical specifications and design documents.
- Improve the reliability and utilization of systems and applications
- Monitor software configuration changes to anticipate and address the impact of data reliability and customer satisfaction issues
- Coordinate sustaining support for application platforms, integrations and/or business processes
- As a technical resource responsible for establishing trusted relationships with business partners, internal IT organizations, other IT portfolio leaders, and Vendor partners
- Effectively communicate approach, value, risk, alternatives, and status of goal progress with executive & senior management, business sponsors, and product managers
- Be experienced with relevant software development tools, industry protocols, troubleshooting & support procedures, monitoring & quality controls, and communication/documentation software
- Be self-directed, work with limited management direction and exercise considerable latitude in determining the technical objectives of the assignment
- Recommend improvements to the SDLC and other departmental processes
- Apply significant knowledge of IT and healthcare industry trends
