Senior Clinical Pharmacist - Trend & Affordability Programs

Premera Blue Cross; Eagle (ID); On-site; USD 130,000 - 170,000; Full time

Benefits offered by this job

Medical insurance

Vision insurance

Dental insurance

Life insurance

Disability insurance

Retirement match

Pension plan

Tuition assistance

On-site parking

Wellness resources

Job summary

Premera Blue Cross 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.

You will develop programs to manage cost and utilization, monitor trends across pharmacy and medical benefits, and collaborate with Rx Product teams to drive pricing, reporting, and feasibility.

Qualifications

• Pharmacist with an advanced degree (e.g. 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 trend management, affordability strategy, and clinical program development for high-impact medications.
• Develop clinical programs and products to manage cost and utilization trends.
• Monitor utilization and cost trend of high impact medications across pharmacy and medical benefits; investigate and prepare trend management options.
• Develop, implement and measure affordability improvement programs with cross-functional collaboration.
• Manage relationships with service vendors supporting high impact drug management and monitor program performance.
• Partner with Rx Product Manager(s) in pricing, reporting, product feasibility, marketing, sales training, and program maintenance.
• Collaborate with Rx functional areas in designing and executing high impact drug management strategies and tactics; stay informed on market intelligence.
• Create trend and pipeline reports and insights to inform pharmacy strategies.

Skills

Communication skills

Project management

Analytical skills

Education

Pharmacist degree or six years experience

Job description

Premera Blue Cross 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.

You will develop programs to manage cost and utilization, monitor trends across pharmacy and medical benefits, and collaborate with Rx Product teams to drive pricing, reporting, and feasibility.