Senior Clinical Pharmacist: Trend & Affordability Programs

Premera Blue Cross; Spokane (WA); Remote; USD 119,000 - 202,000; Full time

Benefits offered by this job

Medical, vision, dental coverage

401K with employer match

Tuition assistance

Paid time off

Job summary

Premera Blue Cross is seeking a Senior Clinical Pharmacist to lead trend management strategies and affordability programs for high-impact medications. This role supports pharmacy savings, member affordability, and cross-functional product development.

The ideal candidate will drive initiatives across pharmacy and medical benefits, collaborate with Rx Product Managers, and guide clinical projects with a focus on strategic deployment and measurable outcomes.

Qualifications

• Pharmacist with an advanced degree or 6 years work experience (Required).
• Active US Pharmacist license in good standing (Required).
• Four years of clinical program development, management or consultation in a managed care setting (Required).

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, may include collaboration with cross functional teams using all relevant levers as interventions e.g. formulary, UM, vendors, provider/member outreach, collaboration with care management, contracted network, etc.
• Manage relationships with service vendors supporting high impact drug management, providing clinical project and program guidance, and monitor program performance.
• Partner with business counterpart Rx Product Manager(s) in pricing, reporting, product feasibility, marketing, sales training, and program maintenance.
• Collaborate with Rx functional areas in designing and executing the high impact drug management strategies and tactics. Provide guidance to ensure cohesive execution of tactics.
• Conduct pilots with internal or external business partners, measure outcomes and lead other high-impact efforts such as external benchmarking activities.
• Develop position statements, outcomes reports, program presentations for internal or market facing needs.
• Maintain working knowledge of competitive intelligence, market surveillance of vendors and capabilities.
• Create trend and pipeline reports and insights to inform pharmacy strategies.

Skills

Communication skills

Presentation skills

Analytical skills

Team collaboration

Education

PharmD or MBA or MHA or MPH or 6 years experience

Tools

MS Word

Excel

PowerPoint

Outlook

Job description

Premera Blue Cross is seeking a Senior Clinical Pharmacist to lead trend management strategies and affordability programs for high-impact medications. This role supports pharmacy savings, member affordability, and cross-functional product development.

The ideal candidate will drive initiatives across pharmacy and medical benefits, collaborate with Rx Product Managers, and guide clinical projects with a focus on strategic deployment and measurable outcomes.