Full-Time Pharmacist Consultant

Join Our Team: Do Meaningful Work and Improve People’s Lives
As a Pharmacist Consultant, you will contribute to the development of clinical pharmacy programs to ensure clinically appropriate and cost-effective medication use by researching and analyzing data and making recommendations to Pharmacy leadership, other internal stakeholders, employers and producers . This role supports drug utilization management strategies and programs for Pharmacy, Medical Services, Care Management, Case Management, Disease Management departments, and HEDIS Clinical Quality measures. As a Pharmacist Consultant at Premera you will interact with our clinical and sales teams frequently, building relationships across the enterprise. This is a great opportunity for someone looking to combine clinical knowledge with the business side of pharmacy, as well as analytical individuals who love to dig into the data and communicate their findings to our clients and producer partners.

What you will 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. Assist Pharmacy leadership in analyzing and researching pharmacy cost trends and clinical program opportunities.
• Consult external partners, such as large and mid-size employer groups regarding pharmacy benefits, trends, and strategic direction appropriate for their employee population. Educate account managers, producers, and clients about pharmacy programs and benefits.
• Provide clinical drug utilization management, formulary management, and business support to key internal and external stakeholders. Assist in developing medical policies for drug utilization management programs.
• Develop and provide 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 improve clinical outcomes.
• Assist case managers in identifying and eliminating barriers to care. Provide a 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.).
• Support the Specialty Pharmacy management program by recommending solutions to improve Specialty drug therapy management for high-cost and complex drugs.
• Assist in developing and maintaining provider and member communication materials that support clinical pharmacy programs.
• Support and serve pharmacy students and/or residents as a preceptor, introducing them to drug utilization management, care management activities product review, and program development.

What you will bring:

• Pharmacist degree and an active US Pharmacist license in good standing. (Required)
• Clinical pharmacy training and clinical residency training from an accredited Pharmacy program. (Required)
• Two years’ experience as a pharmacist. (Required)

Additional preferred skills/ experiences include:

• An advanced degree (e.g. PharmD, MBA, MHA, MPH, or equivalent experience).
• Experience in a managed care setting for one year or more.
• Experience in a retail pharmacy environment.
• Knowledge and understanding of the core elements of MTM services and experience in delivering MTM services directly to patients.

What We Offer

• Medical, vision and dental coverage
• Life and disability insurance
• Retirement programs (401K employer match and pension plan)
• Wellness incentives, onsite services, a discount program and more
• Tuition assistance for undergraduate and graduate degrees
• Generous Paid Time Off to reenergize
• Free parking

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.

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