Premera
healthcare
ClinicalPharmacist
Neural analysis suggests this role is
optimal for Mid+ candidates.
“Clinical Pharmacist at Premera. Skills: clinical pharmacy programs, medication use, data and evidence-based insights, pharmacy strategy, drug utilization management initiatives, HEDIS clinical quality measures. 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, formu”
Industry & Context.
analytical and PC operation skills
What They're Looking For.
Must Have
Bachelor's degree in Pharmacy, Washington State pharmacist license, Active US Pharmacist license in good standing, Two (2) years’ experience as a pharmacist
Nice to Have
Advanced degree (e.g. PharmD, MBA, MHA, MPH or equivalent experience), Clinical pharmacy training, Clinical residency training from an accredited Pharmacy program, Experience in managed care/payor setting, Experience working in a retail pharmacy or hospital environment
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
and administration of clinical drug utilization management programs.
Provide clinical drug utilization 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
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.
How You'll Work.
Team & Collaboration
partner closely with Pharmacy leadership; work independently, as well as a member of a team
Communication Scope
Ability to effectively communicate both orally and in writing
Process & Methodology
Ability to support multiple, complex, and concurrent projects, organizational and planning skills
Full Job Description
**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/_](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. * Sup
Applying for this Clinical Pharmacist role?
Most applicants get filtered before a human reads their resume. See if yours makes the cut.
How to Apply on Workday
- Workday has a multi-step form — save your progress after every section.
- "Apply With LinkedIn" can fail or lose data; manual entry is more reliable.
- Watch for the "Submit for Review" final step — hitting "Save" alone does not submit.
- Job requisition numbers are useful when following up with HR by email.
ANONYMOUS · UNFILTERED
What do employees actually say about Premera?
Real rants from real employees. Read before you apply.