Senior Clinical Pharmacist, Strategy & Cost Mgmt (Remote)

Premera Blue Cross; Helena (MT); Hybrid; USD 119,000 - 202,000; Full time

Benefits offered by this job

Medical, vision, dental coverage

401K employer match

Pension plan

Wellness resources

Paid time off

Tuition assistance

Employee recognition

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. This role supports pharmacy savings, member affordability, and cross-functional product development across the organization.

The ideal candidate will work across the company with multiple stakeholders and will lead broader leadership and strategic deployment of clinical programs within a managed care setting.

Qualifications

• Advanced degree in pharmacy or equivalent relevant experience.
• Experience in managed care pharmacy and MS project management is preferred.
• Strong communication and analytical skills required.

Responsibilities

• Develop clinical programs to manage cost and utilization trends of high-impact medications.
• Monitor utilization and cost trends under pharmacy and medical benefits; analyze options.
• Design and measure affordability programs across cross-functional teams.
• Manage relationships with vendors; provide clinical project guidance and monitor outcomes.
• Collaborate with Rx Product Manager(s) on pricing, reporting, and program maintenance.
• Assist in designing high-impact drug management strategies with cross-functional input.
• Lead pilots and benchmarking activities; measure outcomes.
• Create position statements and reports for internal or market-facing needs.
• Maintain knowledge of competitive intelligence and market capabilities.
• Produce trend and pipeline reports to inform pharmacy strategies.

Skills

Clinical program dev

Cost utilization analysis

Cross-functional collab

Project management

Communication skills

Education

PharmD or MBA

6 years experience

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. This role supports pharmacy savings, member affordability, and cross-functional product development across the organization.

The ideal candidate will work across the company with multiple stakeholders and will lead broader leadership and strategic deployment of clinical programs within a managed care setting.