Senior Clinical Pharmacist: Trend & Affordability

Premera Blue Cross; Kansas City (MO); On-site; USD 140,000 - 170,000; Full time

Benefits offered by this job

Medical, vision, and dental coverage

Life and disability insurance

401(k) and pension plan

Wellness incentives

Tuition assistance

On-site resources & activities

Job summary

Premera 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.

The ideal candidate will conduct research, develop and implement programs, and communicate outcomes to internal and external stakeholders, with emphasis on leadership, management, and strategic deployment across the organization.

Qualifications

• Pharmacist with advanced degree (PharmD, MBA, MHA, MPH) or six years of work experience.
• Four years of clinical program development, management or consultation in a managed care setting.
• Experience in managed care pharmacy.
• Experience with project management.
• Health plan claims analytics experience.
• Ability to lead and manage multiple, complex, concurrent projects.
• Ability to communicate effectively verbally and in writing; intermediate MS Word, Excel, PowerPoint and Outlook skills.
• Familiarity with local and regional health care issues.

Responsibilities

• Develop clinical programs to manage cost and utilization trends of high impact medications.
• Monitor utilization and cost trend of high impact medications under both pharmacy and medical benefits, investigate and prepare trend management options.
• Develop, implement and measure affordability improvement programs, may include collaboration with cross functional teams using all relevant levers as interventions e.g. formulary, UM, vendors, provider/member outreach, collaboration with care management, contracted network, etc.
• Manage relationships with service vendors supporting high impact drug management, providing clinical project and program guidance, and monitor program performance.
• Partner with business counterpart Rx Product Manager(s) in pricing, reporting, product feasibility, marketing, sales training, and program maintenance (dyad model: clinical/business).
• Collaborate with Rx functional areas in designing and executing the high impact drug management strategies and tactics.
• Maintain working knowledge of competitive intelligence, market surveillance of vendors and capabilities.
• Create trend and pipeline reports and insights to inform pharmacy strategies.

Job description

Premera 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.

The ideal candidate will conduct research, develop and implement programs, and communicate outcomes to internal and external stakeholders, with emphasis on leadership, management, and strategic deployment across the organization.