Senior Clinical Pharmacist, Trend & Affordability Programs

Premera Blue Cross; Madison (WI); Hybrid; USD 120,000 - 160,000; Full time

Benefits offered by this job

Medical insurance

Vision insurance

Dental insurance

401K match

Pension plan

Tuition assistance

On-site parking

Wellness programs

Fitness center

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 has leadership experience across multiple stakeholders and can deploy strategic initiatives. The position emphasizes broader leadership, program management, and cross-functional execution in a dynamic healthcare

Qualifications

• Pharmacist with an advanced degree (e.g. PharmD, MBA, MHA, MPH) or six years of work experience.
• Proven ability to lead and manage multiple, complex projects in a managed care setting.
• Experience with pharmacy program development and cost-management initiatives.
• Strong communication skills, both verbal and written, with stakeholders.
• Familiarity with health-plan analytics and utilization management concepts.

Responsibilities

• Develop clinical programs and products to manage cost and utilization trends for high-impact medications.
• Monitor utilization and cost trends under pharmacy and medical benefits; propose trend management options.
• Design affordability improvement programs collaborating with cross-functional teams.
• Manage relationships with vendors and monitor program performance.
• Collaborate with Rx Product Managers on pricing, reporting, and program maintenance.
• Create trend reports and insights to inform pharmacy strategies.

Skills

Leadership

Project management

Verbal & written communication

MS Office proficiency

Education

PharmD or MBA or MHA or MPH

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 has leadership experience across multiple stakeholders and can deploy strategic initiatives. The position emphasizes broader leadership, program management, and cross-functional execution in a dynamic healthcare