Senior Clinical Pharmacist: Trend & Affordability Programs

Premera Blue Cross; Yuma (AZ); Remote; USD 119,000 - 202,000; Full time

Benefits offered by this job

Medical, vision, and dental coverage

401K employer match

Pension plan

Tuition assistance

On-site fitness & well-being center

Free on-site parking

Job summary

Premera is seeking a Senior Clinical Pharmacist to lead trend management strategies and affordability programs for high‑impact medications. This senior role drives cost efficiency and patient access across pharmacy initiatives, with cross‑functional collaboration to align clinical and financial goals.

The candidate will research, develop, implement, and communicate programs to internal and external stakeholders, balancing leadership responsibilities with hands‑on program execution.

Qualifications

• Pharmacist with an advanced degree (e.g. PharmD, MBA, MHA, MPH) or six years of 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)
• Experience in managed care pharmacy. (Preferred)
• Experience with project management. (Preferred)
• Experience with Medicare. (Preferred)
• Experience with Health Benefit Exchanges. (Preferred)
• Board Certified Pharmacotherapy Specialist (BCPS). (Preferred)
• Health Plan claims analytics experience. (Preferred)
• Demonstrated ability to lead and manage multiple, complex, concurrent projects.

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 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.
• 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

Project management

Cross-functional collaboration

Analytical skills

Presentation skills

Stakeholder management

Education

PharmD or MBA/MHA/MPH

Tools

MS Word

Excel

PowerPoint

Outlook

Job description

Premera is seeking a Senior Clinical Pharmacist to lead trend management strategies and affordability programs for high‑impact medications. This senior role drives cost efficiency and patient access across pharmacy initiatives, with cross‑functional collaboration to align clinical and financial goals.

The candidate will research, develop, implement, and communicate programs to internal and external stakeholders, balancing leadership responsibilities with hands‑on program execution.