[Hiring] Senior Clinical Pharmacist @Premera Blue Cross

Role Description

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.

• 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.

Qualifications

• 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.

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.
• On-campus model provides flexibility to create your own routine with access to on-site resources, networking opportunities, and team engagement.
• Commuter perks to make your trip to work less impactful on the environment and your wallet.
• Free convenient on-site parking.
• Subsidized on-campus cafes for affordable lunchtime connections with colleagues.
• Engaging on-site activities such as health and wellness events, coffee connects, disaster preparedness fairs, and more.
• Complementary fitness & well-being center offering both in-person and virtual workouts and nutritional counseling.
• On-campus recreational activities like shuffleboard or ping pong.

Company Description

Premera is an equal opportunity/affirmative action employer. Premera seeks to attract and retain the most qualified individuals without regard to race, color, religion, sex, national origin, age, disability, marital status, veteran status, gender or gender identity, sexual orientation, genetic information or any other protected characteristic under applicable law.

If you need an accommodation to apply online for positions at Premera, please contact Premera Human Resources via email at [email protected] or via phone at 425-918-4785.

Premera is hiring in the following states, with some limitations based on role or city: Alaska, Arizona, Arkansas, California, Colorado, Florida, Georgia, Idaho, Iowa, Kansas, Kentucky, Maine, Michigan, Minnesota, Missouri, Montana, Nevada, New Hampshire, New Mexico, North Carolina, Oklahoma, Oregon, South Carolina, South Dakota, Tennessee, Texas, Utah, Washington, Wisconsin.

The pay for this role will vary based on a range of factors including, but not limited to, a candidate’s geographic location, market conditions, and specific skills and experience.

The salary range for this role is posted below; we generally target up to and around the midpoint of the range.

• National Salary Range: $118,900.00 - $202,100.00
• National Plus Salary Range: $135,600.00 - $230,500.00 (used in higher cost of labor markets including Western Washington and Alaska)

We’re happy to discuss compensation further during the interview because we believe that open communication leads to better outcomes for all. We’re committed to creating an environment where all employees are celebrated for their unique skills and contributions.