Senior Clinical Pharmacist: Trend Management & Programs

Premera Blue Cross; Colorado Springs (CO); Hybrid; USD 130,000 - 170,000; Full time

Benefits offered by this job

Health insurance

401K with employer match

Pension plan after 3 years

Tuition assistance

On-site parking

Wellness programs

Job summary

Premera Blue Cross is seeking a Senior Clinical Pharmacist to lead trend management strategies and affordability programs for high-impact medications. The role drives pharmacy savings, improves member affordability, and supports cross-functional product development.

The successful candidate will develop and communicate clinical programs, manage pharmacy initiatives, and collaborate with multiple stakeholders to align clinical and financial goals.

Qualifications

• Pharmacist with an advanced degree (e.g. PharmD, MBA, MHA, MPH) or six years of work experience.
• Four 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 projects.
• Ability to communicate effectively verbally and in writing; MS Word/Excel/PowerPoint/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.
• Develop, implement and measure affordability improvement programs with cross-functional collaboration.
• Manage relationships with service vendors supporting high impact drug management.
• Partner with Rx Product Manager(s) on pricing, reporting, and program maintenance.
• Collaborate with Rx functional areas in designing high impact drug management strategies.
• Create trend and pipeline reports and insights to inform pharmacy strategies.

Skills

Project management

Communication

Leadership

Healthcare knowledge

Education

Advanced pharmacology degree or equivalent experience

PharmD/MBA/MHA/MPH or 6+ years experience

Tools

MS Word

Excel

PowerPoint

Outlook

Job description

Premera Blue Cross is seeking a Senior Clinical Pharmacist to lead trend management strategies and affordability programs for high-impact medications. The role drives pharmacy savings, improves member affordability, and supports cross-functional product development.

The successful candidate will develop and communicate clinical programs, manage pharmacy initiatives, and collaborate with multiple stakeholders to align clinical and financial goals.