Senior Clinical Pharmacist, Trend Management Strategies and Programs

premera; United States; Remote; USD 150,000 - 190,000; Full time

Benefits offered by this job

Health benefits

Pet insurance

Life insurance

Retirement programs

Job summary

Premera is seeking a Senior Clinical Pharmacist to lead trend management, affordability strategy, and clinical program development for high-impact medications. This critical role supports pharmacy savings, member affordability, and cross-functional product development.

The Sr . 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

Qualifications

• Pharmacist with PharmD or equivalent, licensed in the US.
• 4+ years in clinical program development or management.
• Experience in managed care pharmacy is preferred.
• Strong communication and stakeholder engagement skills.

Responsibilities

• Develop clinical programs to manage cost and utilization of high-impact meds.
• Monitor utilization and cost trends under pharmacy/medical benefits.
• Design affordability improvement programs with cross-functional teams.
• Manage vendor relationships and program performance.
• Collaborate with Rx Product Management on pricing and marketing.
• Lead pilots and external benchmarking activities.
• Prepare position statements and outcomes reports.
• Maintain knowledge of market intelligence and vendor capabilities.
• Create trend reports and inform pharmacy strategies.

Skills

Analytical skills

Project management

Cross-functional collaboration

Communication skills

Healthcare knowledge

Education

Pharmacist with PharmD or equivalent

Active US Pharmacist license

BCPS certification (preferred)

Tools

MS Office (Word/Excel/PP)

Job description

Workforce Classification

Telecommuter

Join Our Team: Do Meaningful Work and Improve People's Lives

Our purpose, to improve customers' lives by making healthcare work better, is far from ordinary. And so are our employees. Working at Premera means you have the opportunity to drive real change by transforming healthcare.

Premera is committed to being a workplace where people feel empowered to grow, innovate, and lead with purpose. By investing in our employees and fostering a culture of collaboration and continuous development, we're able to better serve our customers. It's this commitment that has earned us recognition as one of the best companies to work for. Learn more about our recent awards and recognitions as a greatest workplace.

Learn how Premera supports our members, customers and the communities that we serve through our Healthsource blog: https://healthsource.premera.com/ .

About the role of Sr. Clinical Pharmacist, Trend Management Strategies and Programs

Premera is seeking a Senior Clinical Pharmacist to lead trend management, affordability strategy, and clinical program development for high-impact medications. This critical role supports pharmacy savings, member affordability, and cross-functional product development.

The Sr . 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 medication aligns with, and supports Premera's clinical and financial goals. The ideal candidate has the ability to work effectively across the company with multiple stakeholders and can perform all the responsibilities of the clinical pharmacist with a greater emphasis on broader leadership, management and strategic deployment.

What you'll do:

• 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. Provide guidance to ensure cohesive execution of tactics.
• Conduct pilots with internal or external business partners, measure outcomes and lead other high-impact efforts such as external benchmarking activities.
• Develop position statements, outcomes reports, program presentations for internal or market facing needs.
• Maintain working knowledge of competitive intelligence, market surveillance of vendors and capabilities.
• Create trend and pipeline reports and insights to inform pharmacy strategies.

What you'll bring:

• 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 in managed care pharmacy. (Preferred)
• Experience with project management. (Preferred)
• Experience with Medicare. (Preferred)
• Experience with Health Benefit Exchanges. (Preferred)
• Board Certified Pharmacotherapy Specialist (BCPS). (Preferred)
• Health Plan claims analytics experience. (Preferred)
• Demonstrated ability to lead and manage multiple, complex, concurrent projects.
• Ability to communicate effectively verbally and in writing; strong presentation skills.
• Proven ability to build and maintain relationships with both internal and external individuals.
• Ability to work independently, as well as a member of a team.
• Strong analytical skills; intermediate MS Word, Excel, PowerPoint and Outlook skills.
• Familiarity with local and regional health care issues.

Premera total rewards

Our comprehensive total rewards package provides support, resources, and opportunities to help employees thrive and grow. Our total rewards are more than a collection of perks, they're a reflection of our commitment to your health and well-being. We offer a broad array of rewards including physical, financial, emotional, and community benefits, including:

• Medical, vision, and dental coverage with low employee premiums.
• Voluntary benefit offerings, including pet insurance for paw parents.
• Life and disability insurance.
• Retirement programs, includin