Senior Clinical Pharmacist, Oncology Program

Workforce Classification: Hybrid

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Senior Clinical Pharmacist, Oncology Program will lead and help develop Premera’s oncology program as part of a core team. You’ll collaborate cross-functionally with care management, utilization management, provider/member relations, and market-facing teams to enhance the oncology member experience and program outcomes. You are responsible for researching, developing, implementing, and communicating pharmacy initiatives, programs, and services to both internal and external stakeholders.

This role ensures the clinically appropriate and cost-effective use of medication, aligning with and supporting Premera's clinical and financial goals. Join us to shape and lead a pioneering oncology program where your clinical expertise will drive meaningful changes for entire populations.

What you’ll do:

• 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 white paper and market facing program presentations
• Lead provider engagement in reviewing new drug data, gathering input on new strategies, pathways and guidelines, proactive provider communications leveraging UM process for insights and opportunities
• Lead the development of cost containment programs e.g. develop dose rounding strategies leveraging best 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 PBC’s effort in overall oncology program development
• Provide consultative services for formulary and UM strategies, SF clients needs pertaining to oncology, provider contracting related to oncology infusion therapies, member engagement, case management, Rx products, affordability programs, among others
• Support peer to peer review as needed

What you’ll bring:

• Pharmacist with an advanced degree (e.g. Pharm
  
  D, MBA, MHA, MPH) or (6) years work experience (Required)
• Active US Pharmacist license in good standing (Required)
• Four (4) years of clinical program development, management or consultation in a managed care setting (Required)
• Board Certified in Oncology Pharmacy (Highly Preferred)
• 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
• Ability to communicate effectively verbally and in writing; strong presentation skills
• Proven ability to build and maintain relationships with both internal and external individuals
• Ability to work…