Senior Clinical Pharmacist: Trend & Value Programs (Remote)

Premera Blue Cross; Salem (NH); Remote; USD 119,000 - 202,000; Full time

Benefits offered by this job

Medical, vision, and dental coverage

Voluntary benefits including pet保险

Retirement programs including 401K and

Job summary

Premera Blue Cross in the United States is seeking a Senior Clinical Pharmacist to lead trend management, affordability strategy, and clinical program development for high‑impact medications. This role supports cost containment, member affordability, and cross‑functional product development.

You will research, develop, implement, and communicate programs across the company, aligning clinical and financial goals while collaborating with stakeholders to drive meaningful, data‑driven improvements

Qualifications

• Pharmacist with an advanced degree (e.g. PharmD, MBA, MHA, MPH) or six years work experience.
• Active US Pharmacist license in good standing.
• Four years of clinical program development, management or consultation in a managed care setting.
• Experience in managed care pharmacy (Preferred).
• Experience with project management (Preferred).
• Experience with Medicare (Preferred).
• Experience with Health Benefit Exchanges (Preferred).
• BCPS (Preferred).
• Health plan claims analytics experience (Preferred).
• Ability to lead multiple complex projects.

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. 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.

Skills

Advanced degree (PharmD/MBA/MHA/MPH) /

US Pharmacist license

Clinical program development

Project management

Managed care pharmacy

Education

Pharmacist advanced degree or 6 years experience

Job description

Premera Blue Cross in the United States is seeking a Senior Clinical Pharmacist to lead trend management, affordability strategy, and clinical program development for high‑impact medications. This role supports cost containment, member affordability, and cross‑functional product development.

You will research, develop, implement, and communicate programs across the company, aligning clinical and financial goals while collaborating with stakeholders to drive meaningful, data‑driven improvements