Clinical Pharmacist

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 Employerslist. 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 Employersfor 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 Clinical Pharmacist, you will play a pivotal role in developing, implementing, and managing formulary strategies that ensure clinically appropriate and cost-effective medication use. This role supports Premera’s clinical and financial goals by collaborating across departments and with external stakeholders to optimize formulary design, utilization management, and strategic pharmacy initiatives. What you will do: • Develop and manage formulary strategies, including tier placement, exclusions, and preferred drug selections using pharmacoeconomic and utilization data. • Collaborate on RFPs, client consulting, and other functional areas to ensure clinical criteria are embedded in contracting processes. • Partner with PBM partners on rebate strategy and coding, and with actuarial and clinical operations teams to assess rebate opportunities and model financial impacts of formulary decisions. • Provide leadership and support for the P&T Committee, including implementing strategic changes in service of broader formulary and departmental long-term plans. Drive formulary updates and maintenance across multiple lines of business, ensuring strategic alignment, regulatory compliance, and cost-effective, clinically sound drug coverage decisions. • Continuously review and adapt to regulatory and accreditation requirements (ACA, WA OIC, AK DOI, NCQA, HEDIS). Support medical management and clinical pharmacy initiatives through research, analyses, and administration of clinical drug utilization management programs. • Assist in administering Pharmacy Prior Authorization and other clinical pharmacy programs. Identify and help resolve drug-related issues in collaboration with medical services staff to optimize medication therapy and improve clinical outcomes. • Develop and maintain provider and member communication materials that support clinical pharmacy programs. • Serve as a preceptor for pharmacy students and/or residents, introducing them to drug utilization management, care management activities, product review, and program development. What you will bring: • Pharmacist Degree. • Active US Pharmacist license in good standing. • Clinical pharmacy training, clinical residency training from an accredited Pharmacy program. • Two years’ experience as a pharmacist. Additional preferred skills/experiences include: • An advanced degree (e.g., PharmD, MBA, MHA, MPH, or equivalent experience). • Managed care setting experience for greater than 5 years. • Experience in formulary management, rebate negotiations, and decisions. • Experience with Health Benefit Exchanges and in leading Pharmacy and Therapeutic Committees. #LI-SS1 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 [email protected] 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:$119,900.00 - $203,800.00 • 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.