Senior Clinical Pharmacist, Trend Management Strategies and Programs

Premera Blue Cross•WA Other Telecommuter, WA
•$118,900 - $230,500

About The Position

Premera is seeking a Senior Clinical Pharmacist to lead trend management, affordability strategy, and clinical program development for high-impact medications. The role supports pharmacy savings, member affordability, and cross-functional product development. The Senior Clinical Pharmacist researches, develops, implements, communicates, and manages pharmacy initiatives, programs, and services that promote clinically appropriate and cost-effective medication use aligned with Premera’s clinical and financial goals. The position emphasizes broader leadership, management, and strategic deployment, along with collaboration across the company and with multiple stakeholders.

Requirements

  • Pharmacist with an advanced degree (e.g., PharmD, MBA, MHA, MPH) or six years of work experience.
  • Active U.S. pharmacist license in good standing.
  • Four years of clinical program development, management, or consultation in a managed care setting.
  • Demonstrated ability to lead and manage multiple complex, concurrent projects.
  • Ability to communicate effectively verbally and in writing, with strong presentation skills.
  • Proven ability to build and maintain relationships with internal and external individuals.
  • Ability to work independently and as a member of a team.
  • Strong analytical skills and intermediate skills in MS Word, Excel, PowerPoint, and Outlook.
  • Familiarity with local and regional health care issues.

Nice To Haves

  • Experience in managed care pharmacy.
  • Experience with project management.
  • Experience with Medicare.
  • Experience with Health Benefit Exchanges.
  • Board Certified Pharmacotherapy Specialist (BCPS).
  • Health Plan claims analytics experience.

Responsibilities

  • Develop clinical programs and products to manage cost and utilization trends of high-impact medications.
  • Monitor utilization and cost trends for high-impact medications under pharmacy and medical benefits, investigate trends, and prepare management options.
  • Develop, implement, and measure affordability improvement programs, collaborating with cross-functional teams and using interventions such as formulary, utilization management, vendors, provider and member outreach, care management, and contracted networks.
  • Manage relationships with service vendors supporting high-impact drug management, provide clinical project and program guidance, and monitor program performance.
  • Partner with Rx Product Managers on pricing, reporting, product feasibility, marketing, sales training, and program maintenance in a clinical/business dyad model.
  • Collaborate with Rx functional areas to design and execute high-impact drug management strategies and tactics, providing guidance for cohesive execution.
  • Conduct pilots with internal or external business partners, measure outcomes, and lead other high-impact efforts such as external benchmarking.
  • Develop position statements, outcomes reports, and program presentations for internal or market-facing needs.
  • Maintain working knowledge of competitive intelligence and market surveillance of vendors and capabilities.
  • Create trend and pipeline reports and insights to inform pharmacy strategies.

Benefits

  • Medical, vision, and dental coverage with low employee premiums.
  • Voluntary benefits, including pet insurance.
  • Life and disability insurance.
  • Retirement programs, including a 401(k) employer match and a pension plan vested after three years of service.
  • Wellness incentives and mental well-being resources, including counseling, stress management, and mindfulness programs.
  • Generous paid time off.
  • Tuition assistance for undergraduate and graduate degrees.
  • Employee recognition program.
  • For hybrid employees, access to on-campus resources, networking opportunities, and team engagement.
  • Commuter perks.
  • Free on-site parking.
  • Subsidized on-campus cafes.
  • On-site activities, including health and wellness events, coffee connects, and disaster preparedness fairs.
  • Fitness and well-being center with in-person and virtual workouts and nutritional counseling.
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