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HybridJoin Our Team: Do Meaningful Work and Improve Peoples 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 Americas Dream Employers list. Newsweek honored Premera as one of Americas Greatest Workplaces Americas Greatest Workplaces for Inclusion and Americas Greatest Workplaces For Mental Well-Being Forbes ranked Premera among Americas Best Midsize Employers for the fourth time.
Learn how Premera supports our members customers and the communities that we serve through our Healthsource blog: Clinical PharmacistOncology Programwill lead and help develop Premeras oncology program as part of a core team.Youllcollaborate cross-functionally withcare managementutilizationmanagement provider/member relations and market-facing teams to enhance theoncologymember experience and program outcomes. Youareresponsible forresearching developing implementing and communicating pharmacy initiatives programs and services to both internal and external stakeholders. This role ensures the clinicallyappropriateand cost-effective use of medication aligning with and supporting Premeras clinical and financial goals.Join us to shape and lead a pioneering oncology program where your clinicalexpertisewill drive meaningful changes for entire populations.
Whatyoulldo:
Develop oncology drug class specific management strategies including but not limited to trend forecasting & monitoring drug management strategies rebate optimization companion diagnostics outcomes based or warranty negotiation
Measure outcomes of oncology drug strategies document proof points develop whitepaper and market facing program presentations
Lead provider engagement in reviewing new drug data gathering input on new strategies pathways and guidelines proactive provider communicationsleveragingUM process for insights and opportunities
Lead the development of cost containment programse.g.develop dose rounding strategiesleveragingbest practice from academic oncology centers to enable adoption in community oncology practices
Maintain market intelligence (e.g.new drug development best practice in cost containment practice innovations from oncology practice community evidence based national guidelines opportunities in manufacturer warranty or outcomes-based agreements etc.) to support innovations in PBCs effort in overall oncology program development
Provide consultative services for formulary and UM strategies SFclientsneedspertaining tooncology provider contracting related to oncology infusion therapies member engagement case management Rx products affordability programs among others
Support peer to peer review as needed
Whatyoullbring:
Pharmacist with an advanced degree (e.g.PharmD MBA MHA MPH) or(6)yearswork experience(Required)
Active US Pharmacist license in good standing(Required)
Four (4) years of clinical program developmentmanagementor consultation in a managed care setting(Required)
Board Certified in Oncology Pharmacy (HighlyPreferred)
Experience in managed care pharmacy
Experience and/or familiarity with EHR Oncology provider practices specialty pharmacy practices cancer research evidence based national guidelines cost-effective drug management
Experience with project management
Experience with Medicare
Experience with Health Benefit Exchanges
Demonstrated ability to lead and manage multiple complex concurrent projects
Premera Blue Cross is a leading health plan in the Pacific Northwest, providing comprehensive health benefits and tailored services to approximately 1.9 million people, from individuals to Fortune 100 companies. The company offers innovative health and wellness solutions focused on qu ... View more