Senior Clinical Pharmacist: Trend & Affordability (Remote)

Premera Blue Cross; Phoenix (AZ); Hybrid; USD 119,000 - 231,000; Full time

Benefits offered by this job

Medical, vision, and dental coverage

Pet insurance

Life and disability insurance

401K with employer match and pension

Wellness incentives

Generous paid time off

Tuition assistance

Employee recognition program

Job summary

Premera Blue Cross in the United States is seeking a Senior Clinical Pharmacist to lead trend management, affordability strategies, and clinical program development for high-impact medications. This role supports pharmacy savings, member affordability, and cross-functional product development with leadership responsibilities.

The ideal candidate will work effectively across the company with multiple stakeholders, possess an advanced pharmacy degree, and hold an active US Pharmacist license.

Qualifications

• Pharmacist with an advanced degree (e.g. PharmD, MBA, MHA, MPH) or six (6) years work experience. (Required)
• Active US Pharmacist license in good standing. (Required)
• Four (4) years of clinical program development, management or consultation in a managed care setting. (Required)
• Experience with Medicare/Health Benefit Exchanges preferred
• Experience with project management and cross-functional collaboration preferred
• BCPS or related certification preferred

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 with cross functional teams.
• Manage relationships with service vendors and monitor program performance.
• Partner with Rx Product Manager in pricing, reporting, marketing, and training.
• Collaborate with Rx functional areas to design and execute high impact drug management strategies.
• Conduct pilots and measure outcomes; lead benchmarking activities.
• Create position statements, outcomes reports and program presentations.
• Maintain knowledge of competitive intelligence and market surveillance.

Skills

Analytical skills

Communication skills

Project management

Cross-functional collaboration

MS Word

Excel

PowerPoint

Outlook

Education

PharmD or equivalent advanced degree

US Pharmacist license

Tools

MS Word

Excel

PowerPoint

Outlook

Job description

Premera Blue Cross in the United States is seeking a Senior Clinical Pharmacist to lead trend management, affordability strategies, and clinical program development for high-impact medications. This role supports pharmacy savings, member affordability, and cross-functional product development with leadership responsibilities.

The ideal candidate will work effectively across the company with multiple stakeholders, possess an advanced pharmacy degree, and hold an active US Pharmacist license.