Senior Clinical Pharmacist: Trend & Affordability Programs

Premera Blue Cross; Idaho Falls (ID); Hybrid; USD 120,000 - 180,000; Full time

Benefits offered by this job

Medical, vision, and dental coverage

401K employer match

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.

The ideal candidate has experience across the company with multiple stakeholders and can lead complex projects with a strategic, leadership focus.

Qualifications

• Pharmacist with advanced degree (e.g. PharmD) or six years work experience.
• Four years of clinical program development/management 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 projects.
• Ability to communicate effectively verbally and in writing; MS Word, Excel, PowerPoint and Outlook skills.
• Familiarity with local and regional health care issues.

Responsibilities

• Develop clinical programs and products to manage cost and utilization trends of high impact medications.
• Monitor utilization and cost trend of high impact medications; investigate and prepare trend management options.
• Develop, implement and measure affordability improvement programs with cross-functional teams.
• Manage relationships with service vendors and monitor program performance.
• Partner with Rx Product Manager in pricing, reporting, product feasibility, marketing and training.
• Collaborate with Rx areas to design and execute high impact drug management strategies.
• Create trend and pipeline reports and insights to inform pharmacy strategies.

Skills

Project management

Communication

Healthcare analytics

Stakeholder collaboration

Leadership

Education

PharmD or advanced degree (e.g., MBA/MHA/MPH) or 6 years experience

Tools

MS Word

MS Excel

MS PowerPoint

Outlook

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.

The ideal candidate has experience across the company with multiple stakeholders and can lead complex projects with a strategic, leadership focus.