Senior Clinical Pharmacist: Trend & Cost-Management Leader

Premera Blue Cross; Sioux Falls (SD); Hybrid; USD 120,000 - 180,000; Full time

Benefits offered by this job

Medical, vision, and dental coverage

Life and disability insurance

401(k) employer match and pension plan

Wellness incentives and mental well‑be

Tuition assistance

Hybrid on-campus model

Free on-site parking

On-site health and wellness activities

Fitness & well-being center

Job summary

Premera Blue Cross is seeking a Senior Clinical Pharmacist to lead trend management strategies and clinical programs aimed at cost reduction and affordability for high-impact medications.

The role involves researching, developing, implementing, and communicating programs with internal and external stakeholders, and managing pharmacy initiatives to align with clinical and financial goals.

Qualifications

• Pharmacist degree or equivalent required.
• 4+ years in clinical program development/management in managed care.
• Experience in managed care pharmacy preferred.
• Experience with project management.
• Health plan claims analytics experience.
• Ability to lead multiple complex projects.
• Strong written and verbal communication; proficient with MS Office.
• Familiarity with local and regional health care issues.

Responsibilities

• Develop clinical programs to manage cost and utilization of high-impact meds.
• Monitor utilization and cost trends for high-impact meds across benefits.
• Design and measure affordability improvement programs across cross-functional teams.
• Manage relationships with service vendors and monitor program performance.
• Collaborate with Rx product managers on pricing, reporting, and program maintenance.
• Design and execute high-impact drug management strategies with stakeholders.
• Create trend and pipeline reports to inform pharmacy strategies.

Skills

Verbal & written communication

Project management

Cross-functional collaboration

Analytical thinking

Education

Pharmacist degree (PharmD) or equivalent

Tools

MS Word

MS Excel

PowerPoint

Outlook

Job description

Premera Blue Cross is seeking a Senior Clinical Pharmacist to lead trend management strategies and clinical programs aimed at cost reduction and affordability for high-impact medications.

The role involves researching, developing, implementing, and communicating programs with internal and external stakeholders, and managing pharmacy initiatives to align with clinical and financial goals.