Senior Clinical Pharmacist: Trend & Affordability Programs

Premera Blue Cross; Orangeburg (SC); On-site; USD 120,000 - 160,000; Full time

Benefits offered by this job

Medical, vision, and dental coverage

401K employer match and pension plan

Wellness incentives and mental well‑be

Tuition assistance

On-site parking

On-site activities and fitness center

Disability insurance

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 critical 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 Managers to align pricing, reporting and program maintenance.

Qualifications

• Pharmacist with an advanced degree (e.g. PharmD, MBA, MHA, MPH) or six (6) years work experience.
• Four (4) 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 under both pharmacy and medical benefits.
• Develop, implement and measure affordability improvement programs with cross‑functional teams and levers (formulary, UM, vendors, outreach).
• Manage relationships with service vendors supporting high‑impact drug management and provide program guidance.
• Collaborate with Rx Product Managers on pricing, reporting, product feasibility, marketing, and program maintenance.
• Design and execute high‑impact drug management strategies with Rx functional areas and monitor competitive intelligence.
• Create trend and pipeline reports and insights to inform pharmacy strategies.

Skills

Clinical program development

Project management

Managed care pharmacy

Analytics

Communication skills

Education

PharmD or advanced degree

Tools

MS Word

Excel

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 critical 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 Managers to align pricing, reporting and program maintenance.