• Job Description

  Req#: R28116

  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 include:

  • 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.

  Premera total rewards

  Our comprehensive total rewards package provides support, resources, and opportunities to help employees thrive and grow. Our total rewards are more than a collection of perks, they're a reflection of our commitment to your health and well-being. We offer a broad array of rewards including physical, financial, emotional, and community benefits, including:

  • Medical, vision, and dental coverage with low employee premiums.

  • Voluntary benefit offerings, including pet insurance for paw parents.

  • Life and disability insurance.

  • Retirement programs, including a 401K employer match and, believe it or not, a pension plan that is vested after 3 years of service.

  • Wellness incentives with a wide range of mental well-being resources for you and your dependents, including counseling services, stress management programs, and mindfulness programs, just to name a few.

  • Generous paid time off to reenergize.

  • Looking for continuing education? We have tuition assistance for both undergraduate and graduate degrees.

  • Employee recognition program to celebrate anniversaries, team accomplishments, and more.

  For our hybrid employees, our on-campus model provides flexibility to create your own routine with access to on-site resources, networking opportunities, and team engagement.

  • Commuter perks make your trip to work less impactful on the environment and your wallet.

  • Free convenient on-site parking.

  • Subsidized on-campus cafes make lunchtime connections with colleagues fun and affordable.

  • Participate in engaging on-site activities such as health and wellness events, coffee connects, disaster preparedness fairs and more.

  • Our complementary fitness & well-being center offers both in-person and virtual workouts and nutritional counseling.

  • Need a brain break? Challenge someone to a game of shuffleboard or ping pong while on campus.

  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.

  The salary range for this role is posted below; we generally target up to and around the midpoint of the range.

  National Plus Salary Range:

  $131,900.00 - $224,200.00

  *National Plus salary range is used in higher cost of labor markets including Western Washington and Alaska .

  We’re happy to discuss compensation further during the interview because we believe that open communication leads to better outcomes for all. We’re committed to creating an environment where all employees are celebrated for their unique skills and contributions.

• About the company

  Customer Service: 5 a.m. to 8 p.m. Pacific Call us at: 800-508-4722 in AK; 800-722-1471 in WA and other states Please don't post medical or other personal information or claims info/appeals here. Premera Facebook Fan Page Terms of Use This pa...

Notice