Clinical Pharmacist

Premera Blue Cross

Mountlake Terrace, WA

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JOB DETAILS

SALARY

$108,100–$183,800 Per Year

SKILLS

Algorithms, Analysis Skills, Blog, Business Support, Case Management, Channel Strategies, Clinical Information, Clinical Outcomes, Clinical Research, Clinical Support, Communication Skills, Cost Control, Customer Experience, Customer Relations, Disease, Disease Prevention and Control, Drug Design, Drug Development, Drug Therapy, Environmental Impact, Fitness, Formulary, Government, Health Plan, Healthcare, Healthcare Effectiveness Data and Information Set (HEDIS), Healthcare Providers, Healthcare Quality, Hospital, Interpersonal Skills, Leadership, Managed Care, Medical Assistance, Medical Office Administration, Medical Writing, Medications, Microsoft Office, Microsoft Product Family, National Committee for Quality Assurance (NCQA), Nutrition Therapy, Operational Audit, Organizational Skills, Patient Care Authorizations, Personal Care, Pharmacy, Policy Development, Presentation/Verbal Skills, Problem Solving Skills, Process Improvement, Product Programs, Product Reviews, Reconciliation, Retail, Sales Management, Standards of Care, Strategic Planning, Trend Analysis, Tuition Fees, Utilization Management, Work From Home, Writing Skills

LOCATION

Mountlake Terrace, WA

POSTED

1 day ago

**Workforce Classification:** Telecommuter **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. Premera is committed to being a workplace where people feel empowered to grow, innovate, and lead with purpose. By investing in our employees and fostering a culture of collaboration and continuous development, we're able to better serve our customers. It's this commitment that has earned us recognition as one of the best companies to work for. Learn more about our recent awards and recognitions as a greatest workplace. (https://www.premera.com/visitor/careers#awards) Learn how Premera supports our members, customers and the communities that we serve through our Healthsource blog: https://healthsource.premera.com/ . **_About the role of Clinical Pharmacist_** As a **Clinical Pharmacist** , you'll help shape and advance clinical pharmacy programs that drive safe, clinically appropriate, and cost-effective medication use. You'll use data and evidence-based insights to influence pharmacy strategy, partner closely with Pharmacy leadership, and turn recommendations into programs that make a measurable difference. In this role, you'll also support key drug utilization management initiatives across Pharmacy, Medical Services, Care Management, Case Management, Disease Management, and HEDIS clinical quality measures. **_What you'll do:_** + Support medical management and clinical pharmacy initiatives of Premera companies in support of commercial and government lines of business through research, analyses, and administration of clinical drug utilization management programs. + Provide clinical drug utilization management, formulary management, and business support to key internal and external stakeholders. + Support and assist in administering Pharmacy Prior Authorization and other clinical pharmacy programs. + Provide and develop clinical drug information support to stakeholders across the company through writing, researching clinical cases and standard of care algorithms needed to deliver key pharmacy messages. + Perform drug/medication therapy management services to support the management of drug utilization on the medical benefit, including case and disease management. + Identify and help resolve drug-related issues/problems in concert with medical services staff (medical directors, case managers and disease managers) to optimize medication therapy and to improve clinical outcomes. + Assist case managers in identifying and eliminating barriers to care. Provide Personal Medication List (PML) through comprehensive medication reconciliation, patient-specific Medication Action Plan (MAP) and written/ verbal communication and feedback to healthcare providers. + Help design drug therapy components of disease management algorithms. + Recommend appropriate interventions to meet accreditation requirements (NCQA, HEDIS, etc.). + Assist in developing medical policies for drug utilization management programs. + Support the Specialty Pharmacy management program by recommending solutions to improve Specialty drug therapy management for high cost and complex drugs. + Assist Pharmacy leadership in analyzing and researching pharmacy cost trends and clinical program opportunities. + May provide consultative services to large and mid-size employer groups regarding pharmacy benefits, trends and strategic direction appropriate for their employee population. + May educate account managers, producers and clients about pharmacy programs and benefits. + Assist in developing and maintaining provider and member communication materials that support clinical pharmacy programs. + Support and serve as a preceptor for pharmacy students and/or residents, introducing them to drug utilization management, care management activities product review and program development. + Perform other duties as assigned. **_What you'll bring:_** + Bachelor's degree in Pharmacy. (Required) + A Washington State pharmacist license. (Required) + Active US Pharmacist license in good standing. + Two (2) years' experience as a pharmacist. (Required) + An advanced degree (e.g. PharmD, MBA, MHA, MPH or equivalent experience). (Preferred) + Clinical pharmacy training, clinical residency training from an accredited Pharmacy program. (Preferred) + Experience in managed care/payor setting. (Preferred) + Experience working in a retail pharmacy or hospital environment. (Preferred) + Demonstrated knowledge of drug utilization management tactics including formulary development and drug use criteria development. + Demonstrated knowledge of drug information procedures and reference sourcing. + Ability to support multiple, complex, and concurrent projects. + Strong organizational and planning skills. + Ability to effectively communicate both orally and in writing. + Strong interpersonal and relationship building skills. + Ability to work independently, as well as a member of a team. + Strong analytical and PC operation skills (i.e. Microsoft Office products). + 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. **Premera is hiring in the following states, with some limitations based on role or city:** Alaska, Arizona, Arkansas, California, Colorado, Florida, Georgia, Idaho, Iowa, Kansas, Kentucky, Maine, Michigan, Minnesota, Missouri, Montana, Nevada, New Hampshire, New Mexico, North Carolina, Oklahoma, Oregon, South Carolina, South Dakota, Tennessee, Texas, Utah, Washington, Wisconsin _._ 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 Salary Range:** $108,100.00 - $183,800.00 **National Plus Salary Range:** $123,200.00 - $209,400.00 _*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. 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.

About the Company

Premera Blue Cross

INDUSTRY

Other/Not Classified

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