Senior Clinical Pharmacist: Trend & Affordability Programs

Premera Blue Cross; Atlanta (GA); Hybrid; USD 120,000 - 180,000; Full time

Benefits offered by this job

Medical, vision, and dental coverage

Life and disability insurance

401K + pension plan

Tuition assistance

Hybrid on-campus model

Free on-site parking

Wellness programs and fitness center

On-site health events

Campus activities

Job summary

Premera Blue Cross is seeking a Senior Clinical Pharmacist to lead trend management strategies and clinical programs for high‑impact medications. This role drives pharmacy savings, improves member affordability, and supports cross‑functional product development across the organization.

The ideal candidate will research, develop, implement and communicate pharmacoeconomic initiatives to internal and external stakeholders, with emphasis on leadership, program deployment and strategic impact.

Qualifications

• Pharmacist degree or advanced degree (PharmD, MBA, MHA, MPH) or 6+ years of work experience.
• 4+ years in 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.
• Proven ability to lead and manage multiple complex projects.
• Strong verbal and written communication; proficient MS Word, Excel, PowerPoint, Outlook.

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; investigate and prepare trend management options.
• Develop, implement and measure affordability improvement programs in collaboration with cross-functional teams.
• Manage relationships with service vendors supporting high impact drug management; provide program guidance and monitor performance.
• Partner with Rx Product Manager(s) on pricing, reporting, product feasibility, marketing, and training; support dyad model.
• Collaborate with Rx functional areas to design and execute high impact drug management strategies; monitor competitive intelligence.
• Create trend and pipeline reports and insights to inform pharmacy strategies.

Skills

Managed care experience

Project management

Claims analytics

Project leadership

Communication

MS Office

Healthcare trends awareness

Cross-functional collaboration

Education

PharmD or equivalent

Tools

MS Office

Job description

Premera Blue Cross is seeking a Senior Clinical Pharmacist to lead trend management strategies and clinical programs for high‑impact medications. This role drives pharmacy savings, improves member affordability, and supports cross‑functional product development across the organization.

The ideal candidate will research, develop, implement and communicate pharmacoeconomic initiatives to internal and external stakeholders, with emphasis on leadership, program deployment and strategic impact.