Remote Senior Clinical Pharmacist – Trend & Cost Management

Premera Blue Cross; Austin (TX); Hybrid; USD 119,000 - 202,000; Full time

Benefits offered by this job

Medical coverage

Pension plan

Tuition assistance

On-site parking

Job summary

Premera Blue Cross is seeking a Senior Clinical Pharmacist to lead trend management, affordability strategy, and clinical program development for high-impact medications. You will influence cost-effective use of medications and drive cross-functional initiatives to align with clinical and financial goals.

The role requires collaboration with Rx Product Managers, Medicare and health benefits expertise, and strong leadership to deliver impactful programs and insights across the organization.

Qualifications

• Pharmacist with an advanced degree or six years of work experience.
• A US Pharmacist license in good standing is required.
• Four years of clinical program development/management in a managed care setting.
• Experience with Medicare and Health Benefit Exchanges preferred.

Responsibilities

• Develop clinical programs to manage cost and utilization trends of high-impact medications.
• Monitor utilization and cost trend of high-impact medications under pharmacy and medical benefits, investigate and prepare trend management options.
• Develop affordability improvement programs with cross-functional teams using formulary, utilization management, vendors, and care management as levers.
• Manage relationships with service vendors and monitor program performance.
• Partner with Rx Product Manager(s) in pricing, reporting, product feasibility, marketing, and training.
• Create trend and pipeline reports to inform pharmacy strategies.

Skills

Pharmacist license

Clinical program development

Project management

Healthcare analytics

Communication skills

Education

Pharmacist degree (PharmD) or equivalent

Advanced degree (MBA/MHA/MPH) or six years experience

Tools

MS Word

Excel

PowerPoint

Outlook

Job description

Premera Blue Cross is seeking a Senior Clinical Pharmacist to lead trend management, affordability strategy, and clinical program development for high-impact medications. You will influence cost-effective use of medications and drive cross-functional initiatives to align with clinical and financial goals.

The role requires collaboration with Rx Product Managers, Medicare and health benefits expertise, and strong leadership to deliver impactful programs and insights across the organization.