Senior Clinical Pharmacist: Trend & Affordability Leader

Premera Blue Cross; Portland (ME); Remote; USD 119,000 - 202,000; Full time

Benefits offered by this job

Medical, vision, dental coverage

Pet insurance

Life and disability insurance

401K employer match

Pension plan

Wellness programs

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 can work across the company with multiple stakeholders and perform the clinical pharmacist duties with broader leadership, management, and strategic deployment.

Qualifications

• Pharmacist with an advanced degree or six years of work experience (Required).
• Active US Pharmacist license in good standing (Required).
• Four years of clinical program development/management in a managed care setting (Required).
• Experience in managed care pharmacy (Preferred).
• Experience with project management (Preferred).
• Experience with Medicare (Preferred).
• Experience with Health Benefit Exchanges (Preferred).
• Board Certified Pharmacotherapy Specialist (BCPS) (Preferred).
• Health Plan claims analytics experience (Preferred).
• Demonstrated ability to lead and manage multiple, complex projects.

Responsibilities

• Develop clinical programs and products to manage cost and utilization trends of high impact medications.
• Monitor utilization and cost trends of high impact meds under pharmacy and medical benefits; investigate options.
• Develop and measure affordability improvement programs with cross-functional leverage.
• Manage relationships with service vendors and monitor program performance.
• Partner with Rx Product Manager(s) in pricing, reporting, marketing, and program maintenance.
• Collaborate with Rx areas to design and execute high impact drug strategies.
• Conduct pilots with internal/external partners and lead benchmarking activities.
• Create position statements, outcomes reports, and program presentations.

Skills

Pharmacist license

Clinical program development

Cross-functional collaboration

Medicare knowledge

Project management

Education

PharmD or equivalent

Tools

MS Office

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 can work across the company with multiple stakeholders and perform the clinical pharmacist duties with broader leadership, management, and strategic deployment.