Clinical Pharmacist - Outreach Quality and Affordability

Job Overview The Clinical Pharmacist – Outreach Quality and Affordability is responsible for developing individual and population-based solutions to improve HEDIS performance, support affordability, partner on complex case management, and conduct comprehensive, targeted medication management in selected members to identify, resolve, and prevent medication‑related problems. Responsibilities Utilize prescription and medical claim data to generate clinical recommendations for medication management and retrospective Drug Utilization Review (DUR). Provide clinical recommendations pertaining to gaps in care, high‑risk medications, compliance and adherence, drug interactions, therapeutic substitution, and generic substitution. Assist case managers in identifying and eliminating barriers to care. Provide telephonic consultation and, as required, visits to provider clinics and member homes. Help design drug therapy components of disease‑management algorithms. Utilize the health plan’s formulary information to guide appropriate medication recommendations. Maintain knowledge of current and emerging clinical, operational, and management trends. Actively participate in clinical departmental meetings and forums to improve clinical programs, enhance processes, and share clinical information. Continuously look for ways to streamline and improve workflow. Assist with user acceptance testing for new clinical programs and system enhancements. Assist Pharmacy leadership in analyzing and researching pharmacy cost trends and clinical program opportunities. Support and serve as a preceptor for pharmacy students and/or residents, introducing them to drug utilization management and care management activities. Perform other duties as assigned. Qualifications Pharmacist Degree (Required) Active WA State Pharmacist license (Required) Clinical pharmacy training; clinical residency training preferred from an accredited PGY‑1 residency program (Required) Two (2) years’ experience as a pharmacist (Preferred) Strong preference given to candidates with: Ambulatory and clinic‑based care experience Completion of PGY‑1 residency POP Health experience Clinical program development experience Motivational Interviewing skills Compensation Salary range: $123,200.00 – $209,400.00 (National Plus). The pay for this role will vary based on geographic location, market conditions, and specific skills and experience. Benefits Medical, vision, and dental coverage with low employee premiums Life and disability insurance Retirement programs including 401(k) employer match and a pension plan Wellness incentives and mental‑well‑being resources Generous paid time off Tuition assistance for education Employee recognition programs Equal Employment Opportunity 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. #J-18808-Ljbffr