Clinical Pharmacist, Senior
Premera Blue CrossAbout the role
Workforce Classification:
Hybrid
Join Our Team: Do Meaningful Work and Improve People’s Lives
Our purpose, to improve customers’ lives by making healthcare work better, is far from ordinary. And so are our employees. Working at Premera means you have the opportunity to drive real change by transforming healthcare.
To better serve our customers, we are fostering a culture that emphasizes employee growth, collaborative innovation, and inspired leadership. We are dedicated to creating an environment where employees can excel and where top talent is attracted, retained, and thrives. As a testament to these efforts, Premera has been recognized on the 2025 America's Dream Employers list. Newsweek honored Premera as one of America's Greatest Workplaces, America's Greatest Workplaces for Inclusion, and America's Greatest Workplaces For Mental Well-Being, Forbes ranked Premera among America’s Best Midsize Employers for the fourth time.
Learn how Premera supports our members, customers and the communities that we serve through our Healthsource blog: https://healthsource.premera.com/.
As a Senior Clinical Pharmacist, you will research, develop, implement, and communicate to internal and external stakeholders, and manage pharmacy initiatives, programs, and services that ensure clinically appropriate and cost-effective use of medication that aligns with and supports Premera's clinical and financial goals. This role must be able to work effectively across the company with multiple stakeholders. The Senior Clinical pharmacist does all of the roles of the clinical pharmacist with a greater emphasis on broader leadership, management, and strategic deployment.
What you’ll do:
Contribute to the strategic direction of Premera's Pharmacy Program for both commercial and government (i.e., Medicare Part D) lines of business, make recommendations, and execute corporate-wide pharmacy initiatives.
Develop, implement, and manage clinical drug utilization strategies and provide pharmacy business support to key internal and external stakeholders.
Manage and lead clinical pharmacy programs that may include:
Pharmacy Utilization Management/Prior Authorization program
Pharmacy operations, including Pharmacy Benefit Manager (PBM) vendor management
Pharmacy Formulary Program and formulary promotions
Specialty pharmacy vendor program development, implementation, and management
Support for Physician-Based Pharmacy Management Program
Provide clinical and business support to internal and external stakeholders, including Provider and Customer Engagement team, Sales, and Marketing.
Produce and analyze pharmacy cost trends, clinical and managed care presentations, and pharmacy communication materials for designated market geographies.
Support pharmacy benefit design development in collaboration with Product Services, Actuary, and the Pharmacy Benefit Manager partner.
Support medical management and clinical initiatives of Premera companies.
Provides management and leadership to key meetings like P&T.
Develop strategic approaches to medication management.
Review and develop assessments, including needed FTE to review different program needs.
What you’ll bring:
Pharmacist with an advanced degree (e.g., PharmD, MBA, MHA, MPH) or six years of 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)
Additional preferred skills/ experiences incl
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