Senior Clinical Pharmacist: Trend & Affordability Programs

Premera Blue Cross; Crystal Bay (NV); On-site; USD 150,000 - 190,000; Full time

Benefits offered by this job

401K employer match

Pension plan after 3 years

Health, vision, and dental insurance

Tuition assistance

On-site parking

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 position requires leadership for cross-functional teams across the company and strategic deployment of clinical programs, with a focus on cost-effective medication use and program evaluations.

Qualifications

• Pharmacist with an advanced degree (PharmD, MBA, MHA, MPH) or six years 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.
• Demonstrated 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

• Lead and implement pharmacy initiatives to ensure cost-effective, clinically appropriate medication use.
• Develop clinical programs to manage cost and utilization trends of high-impact medications.
• Monitor utilization and cost trends for high-impact meds under both pharmacy and medical benefits.
• Design affordability improvement programs with cross-functional teams across formulary, UM, vendors, provider/member outreach.
• Manage relationships with service vendors and monitor program performance.
• Collaborate with Rx Product Managers on pricing, reporting, and program maintenance.
• Partner with Rx functions to craft high-impact drug management strategies.
• Create trend and pipeline reports to inform pharmacy strategies.

Skills

Project management

Communication

Leadership

Education

Pharmacist with advanced degree (PharmD, MBA, MHA, MPH)

Six years of work experience

Tools

MS Word

Excel

PowerPoint

Outlook

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 position requires leadership for cross-functional teams across the company and strategic deployment of clinical programs, with a focus on cost-effective medication use and program evaluations.