Senior Pharmacist, Trend Management & Affordability Programs

Premera Blue Cross; California City (CA); Hybrid; USD 119,000 - 231,000; Full time

Benefits offered by this job

On-site parking

Campus fitness center

Commuter perks

Tuition assistance

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. You will drive pharmacy savings, improve member affordability, and partner across functions to align with clinical and financial goals.

The role requires a PharmD or equivalent and a valid US pharmacist license, with strong leadership and cross-functional collaboration capabilities.

Qualifications

• Pharmacist with an advanced degree (e.g. PharmD, MBA, MHA, MPH) or six years work experience (Required)
• Active US Pharmacist license in good standing (Required)
• Four years of clinical program development, management or consultation in a managed care setting (Required)
• Experience with Medicare and Health Benefit Exchanges (Preferred)

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 propose options.
• Develop and measure affordability improvement programs with 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 and tactics.
• Conduct pilots, measure outcomes, and lead benchmarking activities.
• Create position statements, reports, and insights to inform pharmacy strategy.

Skills

Active US Pharmacist license

Clinical program development

Project management

Medicare experience

Health Benefit Exchanges

BCPS

Pharmacist communication skills

Education

PharmD or equivalent advanced degree

Six years of relevant experience

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. You will drive pharmacy savings, improve member affordability, and partner across functions to align with clinical and financial goals.

The role requires a PharmD or equivalent and a valid US pharmacist license, with strong leadership and cross-functional collaboration capabilities.