Clinical Pharmacist

Professional Diversity Network

Premera Blue Cross

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.

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:

As a Clinical Pharmacist, you will contribute to the development of clinical pharmacy programs that ensure clinically appropriate and cost-effective medication use by researching and analyzing data and making recommendations to Pharmacy leadership. You will assist in implementing and administering these programs along with supporting drug utilization management strategies and programs for Pharmacy, Medical Services, Care Management, Case Management, Disease Management departments, 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 clinical drug information support to stakeholders across the company through researching clinical cases and standard of care algorithms.

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.

Provide telephonic consultation and as required, visits to provider clinics and member homes.

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 and care management activities.

What you'll bring:

Pharmacist Degree. (Required)

Active WA State Pharmacist license in good standing. (Required)

Clinical pharmacy training and clinical residency training from an accredited Pharmacy program. (Required)

(2) years of experience as a pharmacist. (Required)

Prior authorization experience strongly preferred.

An advanced degree (e.g., PharmD, MBA, MHA, MPH or equivalent experience) is preferred.

Experience in managed care setting.

Experience in delivering MTM services directly to patients.

Demonstrated knowledge of drug utilization management tactics including formulary development and drug use criteria development.

Demonstrated knowledge of drug information procedures and reference sourcing.

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 or via phone at .

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:$105,200.00 - $178,800.00

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.PDN-a029d2e8-2460-4424-bb9e-ab4becb0aba7