Senior Clinical Pharmacist — Trend & Affordability Programs

Premera Blue Cross; South Dakota Park (SD); Hybrid; USD 140,000 - 180,000; Full time

Benefits offered by this job

Medical, vision, and dental coverage

401K employer match

Pension plan after 3 years

Tuition assistance

On-site parking

Hybrid on-campus model

Wellness resources

On-site activities

Fitness & well-being center

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 candidate will collaborate across the company with stakeholders, manage vendor relationships, and drive strategic initiatives to optimize medication use and cost efficiency.

Qualifications

• Pharmacist with an advanced degree (e.g. PharmD, MBA, MHA, MPH) or six years of experience in related roles.
• 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.
• Research, develop, implement, and communicate pharmacy initiatives to internal and external stakeholders.
• Develop programs to manage cost and utilization trends of high-impact medications.
• Monitor utilization and cost trends under both pharmacy and medical benefits, and prepare trend management options.
• Manage relationships with service vendors and provide clinical project guidance.
• Partner with Rx Product Manager(s) in pricing, reporting, product feasibility, marketing, and program maintenance.
• Collaborate with Rx functional areas to design and execute high-impact drug management strategies.
• Create trend and pipeline reports and insights to inform pharmacy strategies.

Skills

Leadership

Communication

Project management

Healthcare analytics

Managed care pharmacy

Cross-functional collaboration

Education

Pharmacist degree or advanced degree

Tools

MS Word

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

The candidate will collaborate across the company with stakeholders, manage vendor relationships, and drive strategic initiatives to optimize medication use and cost efficiency.