Senior Clinical Pharmacist: Trend & Cost Management (Hybrid)

Premera Blue Cross; Central City (KY); Hybrid; USD 120,000 - 180,000; Full time

Benefits offered by this job

Medical, vision, dental coverage with低

401K employer match

Pension plan vested after 3 years

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 ideal candidate will have a PharmD or equivalent advanced degree and substantial experience in managed care pharmacy, program development, and analytics, with strong communication and leadership skills.

Qualifications

• Pharmacist with an advanced degree (e.g. PharmD, MBA, MHA, MPH) or six years of work experience.

Responsibilities

• Lead trend management and affordability strategy for high-impact medications.
• Develop clinical programs and products to manage cost and utilization trends.
• Monitor utilization and cost trends under pharmacy and medical benefits; prepare trend management options.
• Create affordability improvement programs with cross-functional collaboration.
• Manage relationships with service vendors and monitor program performance.
• Collaborate with Rx product teams on pricing, reporting and product feasibility.
• Design and execute high-impact drug management strategies with competitive intelligence insights.
• Produce trend and pipeline reports to inform pharmacy strategies.

Skills

Clinical program development

Project management

Managed care pharmacy

Health plan claims analytics

Verbal and written communication

MS Word/Excel/PowerPoint/Outlook

Healthcare knowledge

Education

PharmD

MBA

MHA

MPH

Tools

None

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 ideal candidate will have a PharmD or equivalent advanced degree and substantial experience in managed care pharmacy, program development, and analytics, with strong communication and leadership skills.