Senior Clinical Pharmacist, Trend Management Strategies and Programs
Premera Blue Cross
Why Premera Our purpose, to improve customers’ lives by making healthcare work better, is far from ordinary. Working at Premera means you have the opportunity to drive real change by transforming healthcare. By investing in our employees and fostering a culture of collaboration and continuous development, we’re able to better serve our customers. Learn how Premera supports our members, customers and the communities that we serve through our Healthsource blog: Clinical Pharmacist, Trend Management Strategies and Programs Premera is seeking a Senior Clinical Pharmacist. 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. 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. Responsibilities 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. Maintain working knowledge of competitive intelligence, market surveillance of vendors and capabilities. Create trend and pipeline reports and insights to inform pharmacy strategies. Requirements Pharmacist with an advanced degree (e.g. PharmD, MBA, MHA, MPH) or six (6) years work experience.
- Four (4) years of clinical program development, management or consultation in a managed care setting.
- Experience in managed care pharmacy.
- Experience with project management.
- Health Plan claims analytics experience.
- Demonstrated ability to lead and manage multiple, complex, concurrent projects.
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