Senior Clinical Pharmacist – Trend & Affordability Programs

Premera Blue Cross; Columbia (SC); Hybrid; USD 120,000 - 150,000; Full time

Benefits offered by this job

401K match

Pension plan after 3 years

Tuition assistance

On-site parking

Wellness resources

On-site fitness center

Hybrid on-site model

Job summary

Premera Blue Cross seeks a Senior Clinical Pharmacist to lead trend management, affordability strategy, and clinical program development for high-impact medications. This role drives pharmacy savings, improves member affordability, and guides cross-functional product initiatives with a focus on cost-effective, clinically appropriate medication use across plans.

The position requires strong leadership, strategic execution, and the ability to collaborate with Rx Product teams and care management

Qualifications

• Pharmacist with advanced degree or six years of work experience.
• Four years of clinical program development/management in managed care.
• Experience in managed care pharmacy.
• Experience with project management.
• Health Plan claims analytics experience.
• Ability to lead 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 across pharmacy and medical benefits.
• Develop and measure affordability improvement programs with cross-functional collaboration.
• Manage relationships with service vendors and monitor program performance.
• Partner with Rx Product Manager(s) on pricing, reporting, and product feasibility.
• Collaborate with Rx areas to design high-impact drug management strategies.
• Create trend and pipeline reports and insights to inform pharmacy strategies.

Skills

Clinical program development

Stakeholder management

Leadership

Project management

Cost containment

Education

PharmD or equivalent

Six years experience

Job description

Premera Blue Cross seeks a Senior Clinical Pharmacist to lead trend management, affordability strategy, and clinical program development for high-impact medications. This role drives pharmacy savings, improves member affordability, and guides cross-functional product initiatives with a focus on cost-effective, clinically appropriate medication use across plans.

The position requires strong leadership, strategic execution, and the ability to collaborate with Rx Product teams and care management