Senior Clinical Pharmacist — Trend & Cost Management Hybrid

Premera Blue Cross; Carson City (NV); Hybrid; USD 140,000 - 170,000; Full time

Benefits offered by this job

Medical, vision, and dental coverage

401K employer match

Pension plan

Wellness resources

Tuition assistance

Hybrid on-campus model

Free on-site parking

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.

Clinical Pharmacist researches, develops, implements, and communicates to internal and external stakeholders, and manages pharmacy initiatives, programs and services that ensure clinically appropriate and cost‑effective use of

Qualifications

• Pharmacist with 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

• 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 (dyad model: clinical/business).
• Collaborate with Rx functional areas in designing and executing the high impact drug management strategies and tactics. Maintain working knowledge of competitive intelligence, market surveillance of vendors and capabilities.
• Create trend and pipeline reports and insights to inform pharmacy strategies.

Education

Pharmacist with advanced degree (e.g. PharmD, MBA, MHA, MPH)

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.

Clinical Pharmacist researches, develops, implements, and communicates to internal and external stakeholders, and manages pharmacy initiatives, programs and services that ensure clinically appropriate and cost‑effective use of