Senior Clinical Pharmacist, Trend & Affordability Programs

Premera Blue Cross; Iowa Center (IA); Remote; USD 119,000 - 231,000; Full time

Benefits offered by this job

Medical, vision, and dental coverage

Life and disability insurance

401K with employer match

Pension plan after 3 years

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 supports pharmacy savings, member affordability, and cross-functional product development.

The ideal candidate will develop, implement, and communicate programs across stakeholders, working with cross-functional teams to align clinical and financial goals.

Qualifications

• Pharmacist with an advanced degree or six years of work experience.
• Active US Pharmacist license in good standing.
• Four years of clinical program development, management or consultation in a managed care setting.
• Experience in managed care pharmacy.
• Experience with project management.
• Experience with Medicare.
• Experience with Health Benefit Exchanges.
• BCPS certification.
• Health Plan claims analytics experience.
• Demonstrated ability to lead and manage multiple complex projects.
• Ability to communicate effectively verbally and in writing; strong presentation skills.
• Proven ability to build and maintain relationships.
• Ability to work independently and in a team.
• Strong analytical skills; proficient in MS Word, Excel, PowerPoint and Outlook.
• 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 under both pharmacy and medical benefits; 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.
• Collaborate with Rx Product Manager 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.
• Conduct pilots with internal or external partners; measure outcomes and lead external benchmarking activities.
• Develop position statements, outcomes reports, and program presentations.

Skills

Pharmacist license

Clinical program development

Project management

Managed care pharmacy

Communication

Leadership

Analytical skills

MS Word/Excel/PowerPoint/Outlook

Medicare knowledge

Health Benefit Exchanges

BCPS

Pharmacist degree/licensure

Education

PharmD or equivalent degree and license

Tools

MS Word

Excel

PowerPoint

Outlook

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 supports pharmacy savings, member affordability, and cross-functional product development.

The ideal candidate will develop, implement, and communicate programs across stakeholders, working with cross-functional teams to align clinical and financial goals.