Senior Clinical Pharmacist – Trend Management Strategies, Programs

Premera Blue Cross

. Develop clinical programs and products to manage cost and utilization trends of high-impact medications .

Posted 10/17/2026full-timeRemote • United StatesSenior💰 $118,900 - $230,500 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in clinical program development and management within a managed care setting, with a strong focus on cost and utilization trends of high-impact medications. Proficient in project management, relationship building, and effective communication to drive program success and collaboration across functional teams.

Highest-signal resume keywords

Pharmacist With Advanced DegreeActive US Pharmacist LicenseClinical Program DevelopmentManaged Care Pharmacy ExperienceProject Management Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical Program DevelopmentCost ManagementUtilization ManagementHealth Plan Claims AnalyticsData AnalysisTrend AnalysisProgram MeasurementBenchmarkingPresentation DevelopmentOutcome Measurement

Soft Skills

Effective CommunicationRelationship BuildingTeam CollaborationIndependent WorkAnalytical Thinking

Tools & Technologies

MS WordMS ExcelMS PowerPointMS Outlook

Certifications & Qualifications

Active US Pharmacist LicenseBoard Certified Pharmacotherapy Specialist (BCPS)

Industry Keywords

Managed CarePharmacy BenefitsHealth Benefit ExchangesClinical ConsultationPharmacy Strategies

About the role

Key responsibilities & impact

Develop clinical programs and products to manage cost and utilization trends of high-impact medications
Monitor utilization and cost trends of high-impact medications under pharmacy and medical benefits
Investigate and prepare trend management options
Develop, implement, and measure affordability improvement programs
Collaborate with cross-functional teams on formulary, utilization management, vendors, provider/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
Collaborate with Rx functional areas to design and execute drug management strategies and tactics
Conduct pilots with internal or external business partners and measure outcomes
Lead external benchmarking activities and other high-impact efforts
Develop position statements, outcomes reports, and program presentations
Maintain competitive intelligence and market surveillance of vendors and capabilities
Create trend and pipeline reports and insights to inform pharmacy strategies

Requirements

What you’ll need

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 internal and external individuals
Ability to work independently and 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

Comp & perks

Medical, vision, and dental coverage with low employee premiums
Voluntary benefit offerings, including pet insurance
Life and disability insurance
Retirement programs, including a 401K employer match and a pension plan vested after 3 years of service
Wellness incentives, including mental well-being resources, counseling services, stress management programs, and mindfulness programs
Generous paid time off
Tuition assistance for undergraduate and graduate degrees
Employee recognition program
On-campus flexibility for hybrid employees, with access to on-site resources, networking opportunities, and team engagement
Commuter perks
Free convenient on-site parking
Subsidized on-campus cafes
On-site health and wellness activities
Fitness and well-being center with in-person and virtual workouts and nutritional counseling
On-campus recreation, including shuffleboard and ping pong