What are the responsibilities and job description for the Senior Clinical Pharmacist position at Premera Blue Cross?
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’re creating a culture that promotes employee growth, collaborative innovation, and inspired leadership. Forbes ranked Premera among America’s 2022 Best Midsize Employers because we are committed to creating an environment where employees can do their best work and where best-in-class talent comes, stays, and thrives! COVID-19 Vaccination Policy: To learn more about our COVID-19 vaccination and accommodation requirements, please visit our Careers landing page. As a Senior Clinical Pharmacist, you will develop, implement, communicate, and manage pharmacy initiatives, programs, and services that ensure clinically appropriate and cost-effective use of medication aligns with and support Premera's clinical and financial goals. This is a virtual/telecommuter position, working from home. 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. What you’ll bring: Pharmacist with an advanced degree (e.g. PharmD, MBA, MHA, MPH) or (6) years of work experience. (Required) Active US Pharmacist license in good standing. (Required) (4) years of clinical program development, management or consultation in a managed care setting. (Required) Board Certified Pharmacotherapy Specialist (BCPS) preferred. Experience in a managed care pharmacy. Experience with project management. Experience with Medicare. Experience with Health Benefit Exchanges. Familiarity with local and regional health care issues. What we offer Medical, vision and dental coverage Life and disability insurance Retirement programs (401K employer match and pension plan) Wellness incentives, onsite services, a discount program and more Tuition assistance for undergraduate and graduate degrees Generous Paid Time Off to reenergize Free parking Equal employment opportunity/affirmative action: 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 careers@premera.com or via phone at 425-918-4785. 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. National Salary Range: $110,100.00 - $187,200.00 National Plus Salary Range: $124,400.00 - $211,500.00 *National Plus salary range is used in higher cost of labor markets including Western Washington and Alaska. At Premera, we make healthcare work better. By focusing on improving our customers’ experience purposefully and serving their needs passionately, we make the process easier, less costly, and more positive. Through empathy and advocacy, we change lives. As the leading health plan in the Pacific Northwest, we provide comprehensive health benefits and services to more than 2 million customers, from individuals to Fortune 100 companies. Our services include innovative programs focused on health management, wellness, prevention, and patient safety. We deliver these programs through health, life, vision, dental, disability, and other related products and services. Premera Blue Cross is headquartered in Mountlake Terrace, WA, with operations in Spokane and Anchorage. The company has operated in Washington since 1933 and in Alaska since 1952. With more than 80 years of experience in the region, we deliver innovation, choice, and expertise.
Salary : $110,100 - $187,200
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