Clinical Pharmacist

Premera Blue Cross • WA Other Telecommuter, WA

6d • Remote

About The Position

As a Clinical Pharmacist, you’ll help shape and advance clinical pharmacy programs that drive safe, clinically appropriate, and cost‑effective medication use. You’ll use data and evidence-based insights to influence pharmacy strategy, partner closely with Pharmacy leadership, and turn recommendations into programs that make a measurable difference. In this role, you’ll also support key drug utilization management initiatives across Pharmacy, Medical Services, Care Management, Case Management, Disease Management, and HEDIS clinical quality measures.

Requirements

• Bachelor’s degree in Pharmacy. (Required)
• A Washington State pharmacist license. (Required)
• Active US Pharmacist license in good standing.
• Two (2) years’ experience as a pharmacist. (Required)
• Demonstrated knowledge of drug utilization management tactics including formulary development and drug use criteria development.
• Demonstrated knowledge of drug information procedures and reference sourcing.
• Ability to support multiple, complex, and concurrent projects.
• Strong organizational and planning skills.
• Ability to effectively communicate both orally and in writing.
• Strong interpersonal and relationship building skills.
• Ability to work independently, as well as a member of a team.
• Strong analytical and PC operation skills (i.e. Microsoft Office products).
• Familiarity with local and regional health care issues.

Nice To Haves

• An advanced degree (e.g. PharmD, MBA, MHA, MPH or equivalent experience).
• Clinical pharmacy training, clinical residency training from an accredited Pharmacy program.
• Experience in managed care/payor setting.
• Experience working in a retail pharmacy or hospital environment.

Responsibilities

• Support medical management and clinical pharmacy initiatives of Premera companies in support of commercial and government lines of business through research, analyses, and administration of clinical drug utilization management programs.
• Provide clinical drug utilization management, formulary management, and business support to key internal and external stakeholders.
• Support and assist in administering Pharmacy Prior Authorization and other clinical pharmacy programs.
• Provide and develop clinical drug information support to stakeholders across the company through writing, researching clinical cases and standard of care algorithms needed to deliver key pharmacy messages.
• Perform drug/medication therapy management services to support the management of drug utilization on the medical benefit, including case and disease management.
• Identify and help resolve drug-related issues/problems in concert with medical services staff (medical directors, case managers and disease managers) to optimize medication therapy and to improve clinical outcomes.
• Assist case managers in identifying and eliminating barriers to care.
• Provide Personal Medication List (PML) through comprehensive medication reconciliation, patient-specific Medication Action Plan (MAP) and written/ verbal communication and feedback to healthcare providers.
• Help design drug therapy components of disease management algorithms.
• Recommend appropriate interventions to meet accreditation requirements (NCQA, HEDIS, etc.).
• Assist in developing medical policies for drug utilization management programs.
• Support the Specialty Pharmacy management program by recommending solutions to improve Specialty drug therapy management for high cost and complex drugs.
• Assist Pharmacy leadership in analyzing and researching pharmacy cost trends and clinical program opportunities.
• May provide consultative services to large and mid-size employer groups regarding pharmacy benefits, trends and strategic direction appropriate for their employee population.
• May educate account managers, producers and clients about pharmacy programs and benefits.
• Assist in developing and maintaining provider and member communication materials that support clinical pharmacy programs.
• Support and serve as a preceptor for pharmacy students and/or residents, introducing them to drug utilization management, care management activities product review and program development.
• Perform other duties as assigned.

Benefits

• Medical, vision, and dental coverage with low employee premiums.
• Voluntary benefit offerings, including pet insurance for paw parents.
• Life and disability insurance.
• Retirement programs, including a 401K employer match and a pension plan that is vested after 3 years of service.
• Wellness incentives with a wide range of mental well-being resources for you and your dependents, including counseling services, stress management programs, and mindfulness programs.
• Generous paid time off to reenergize.
• Tuition assistance for both undergraduate and graduate degrees.
• Employee recognition program to celebrate anniversaries, team accomplishments, and more.
• Commuter perks make your trip to work less impactful on the environment and your wallet.
• Free convenient on-site parking.
• Subsidized on-campus cafes make lunchtime connections with colleagues fun and affordable.
• Participate in engaging on-site activities such as health and wellness events, coffee connects, disaster preparedness fairs and more.
• Our complementary fitness & well-being center offers both in-person and virtual workouts and nutritional counseling.
• Challenge someone to a game of shuffleboard or ping pong while on campus.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level