Senior Clinical Pharmacist – Trend & Affordability Programs

Premera Blue Cross; Athens (GA); Hybrid; USD 115,000 - 150,000; Full time

Benefits offered by this job

Medical, vision, and dental coverage

401K with employer match

Pension plan after 3 years

Tuition assistance

On-site parking

On-site wellness center

Hybrid on-campus flexibility

Wellness and mental health resources

On-site activities

Fitness & well-being center access

Shuffleboard/ping pong on campus

Job summary

Premera seeks 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 position emphasizes leadership across the enterprise, collaboration with Rx Product Managers, and the creation of reports and insights to inform pharmacy strategies. A hybrid work model with on-site resources is available.

Qualifications

• Advanced degree (e.g. PharmD, MBA, MHA, MPH) or six+ years of relevant 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 projects.
• Strong written and verbal communication; proficient in MS Word, Excel, PowerPoint, Outlook.
• Familiarity with local and regional health care issues.

Responsibilities

• Research, develop, implement, and communicate pharmacy initiatives and programs that align with clinical and financial goals across stakeholders.
• 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 both pharmacy and medical benefits; investigate trend management options.
• Design and measure affordability improvement programs with cross-functional collaboration.
• Manage relationships with service vendors and provide program guidance and performance monitoring.
• Collaborate with Rx Product Managers on pricing, reporting, product feasibility, marketing and training.
• Contribute to designing and executing high impact drug management strategies and competitive intelligence.

Skills

Leadership

Project management

Communication

MS Word

Excel

PowerPoint

Outlook

Education

PharmD

MBA

MHA

MPH

Job description

Premera seeks 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 position emphasizes leadership across the enterprise, collaboration with Rx Product Managers, and the creation of reports and insights to inform pharmacy strategies. A hybrid work model with on-site resources is available.