Remote Senior Clinical Pharmacist - Trend & Cost Mgmt

Premera Blue Cross; Provo (UT); Hybrid; USD 119,000 - 202,000; Full time

Benefits offered by this job

Medical, vision & dental

401K match

Pension plan

Wellness programs

Paid time off

Tuition assistance

On-site parking

Fitness center access

Commuter benefits

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. The role supports cost-effective medication use and cross-functional product development across the company.

The ideal candidate will have an advanced degree (PharmD, MBA, MHA, MPH) or six years of related experience, active US pharmacist license, and experience in managed care pharmacy.

Qualifications

• Pharmacist with an advanced degree (e.g. PharmD, MBA, MHA, MPH) or six years work experience.
• Active US Pharmacist license in good standing.
• Four years of clinical program development, management or consultation in a managed care setting.
• Experience with Medicare, Health Benefit Exchanges preferred.
• Board Certified Pharmacotherapy Specialist (BCPS) preferred.

Responsibilities

• Develop clinical programs and products to manage cost and utilization trends of high impact medications.
• Monitor utilization and cost trends of high impact medications under pharmacy and medical benefits.
• Develop, implement and measure affordability improvement programs; collaborate with cross-functional teams.
• Manage relationships with service vendors supporting high impact drug management.
• Partner with Rx Product Manager in pricing, reporting, marketing, and program maintenance.
• Collaborate with Rx functional areas in designing and executing high impact drug management strategies.
• Conduct pilots with internal or external partners and measure outcomes.

Skills

Verbal communication

Written communication

Presentation skills

Relationship building

Independent worker

MS Word

Excel

PowerPoint

Outlook

Education

PharmD or equivalent

Six years of relevant 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. The role supports cost-effective medication use and cross-functional product development across the company.

The ideal candidate will have an advanced degree (PharmD, MBA, MHA, MPH) or six years of related experience, active US pharmacist license, and experience in managed care pharmacy.