Full-Time

Pharmacist Consultant

Posted on 10/31/2025

Premera Blue Cross

Premera Blue Cross

1,001-5,000 employees

Health benefits plans and related services

Compensation Overview

$119.9k - $203.8k/yr

+ National Plus Salary Range

Lynnwood, WA, USA

Hybrid

Category
Medical, Clinical & Veterinary (3)
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Requirements
  • Pharmacist degree and an active US Pharmacist license in good standing.
  • (2) years of experience as a pharmacist.
Responsibilities
  • Assist pharmacy leadership, sales teams, and producers 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.
  • 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.
  • 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.
Desired Qualifications
  • Consulting experience.
  • Clinical pharmacy training and clinical residency training from an accredited Pharmacy program
  • (1+) years of experience in a managed care setting.
  • Experience in a retail pharmacy environment.
  • Strong presentation and communication skills.
  • Experience with data analysis and identifying trends.

Premera Blue Cross is a regional health plan based in Mountlake Terrace, Washington, serving more than 2.8 million people in Alaska and Washington. It provides comprehensive health benefits and a wide range of related services, including health, life, vision, dental, stop-loss, disability, and workforce wellness offerings. Its products are delivered through employer groups, individuals, and other customers, with a focus on tailored services, quality outcomes, and cost control to make healthcare work better for customers. Premera differentiates itself by operating as an Independent Licensee of the Blue Cross Blue Shield Association in its Pacific Northwest footprint, offering a broad benefits portfolio and services such as language assistance and accessible support to meet civil rights and customer needs. The company’s goal is to improve customers’ lives by making healthcare easier to access, understand, and manage, while maintaining affordable, quality care.

Company Size

1,001-5,000

Company Stage

N/A

Total Funding

N/A

Headquarters

Mountlake Terrace, Washington

Founded

1933

Simplify Jobs

Simplify's Take

What believers are saying

  • Matchmaker served 2,700 members in 2024, up from 800 in 2023.
  • Dr. Rushika Fernandopulle joined board in September 2024 for innovation.
  • UAA partnership expands social worker pipeline since 2022 investment.

What critics are saying

  • MultiCare termination forces member provider switches to competitors.
  • 30% Matchmaker lists fail to secure appointments due to shortages.
  • UAA investments yield no clinician supply increases by 2026.

What makes Premera Blue Cross unique

  • Matchmaker for Behavioral Health launched in 2023 curates in-network providers.
  • $1.4 million UW Medicine grant integrates care in three Black community clinics.
  • 22% behavioral health network expansion adds over 1,000 clinicians since 2021.

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Benefits

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

401(k) Company Match

Wellness Program

Unlimited Paid Time Off

Paid Vacation

Tuition Reimbursement

Commuter Benefits

Hybrid Work Options

Company News

Spokane Journal of Business
Feb 27th, 2025
Premera's mental health matchmaker service grows

Premera Blue Cross, which is headquartered in Mountlake Terrace, Washington, launched its matchmaker for behavioral health program in 2023 to reduce barriers for people experiencing mental health conditions and substance abuse disorders.

PR Newswire
Sep 16th, 2024
Premera Appoints Dr. Rushika Fernandopulle to Board of Directors

MOUNTLAKE TERRACE, Wash., Sept. 16, 2024 /PRNewswire/ - Premera today announced Dr. Rushika Fernandopulle has joined its Board of Directors.

Free Press Publishing
May 13th, 2024
Premera plans to drop MultiCare

MEDICAL LAKE - Premera Blue Cross has announced the potential termination of its coverage agreement with MultiCare, a prominent healthcare provider in Washington State.

Mountlake Terrace
May 3rd, 2024
Premera hires Dr. Romilla Batra as new chief medical officer

Premera hires dr. Romilla Batra as new chief medical officer.

PR Newswire
Jan 30th, 2024
Premera Blue Cross, Uw Medicine Collaborate On Behavioral Health Integration For Black Communities

Grant helps three clinics in western Washington implement evidence-based Collaborative CareMOUNTLAKE TERRACE, Wash., Jan. 30, 2024 /PRNewswire/ -- Premera Blue Cross, a health plan in the Pacific Northwest, today announced the company's efforts with the AIMS Center at the University of Washington School of Medicine to improve mental health outcomes for Black and African American communities. Through a $1.4 million investment, three clinics in western Washington will receive funds to implement Collaborative Care, a specific model of integrated care developed at UW Medicine to treat common conditions like depression and anxiety.The Centers for Disease Control and Prevention found that Black adults had equal or higher rates of depression as white adults, yet studies show only 25 percent of Black Americans seek mental health care, compared to 40 percent of white Americans. Through Collaborative Care, patients can receive care for their mental health in the same setting they are treated for their physical health. This can help break down barriers to seeking care and reduce disparities in mental health outcomes.The clinics selected to receive funds are in areas of western Washington where a higher proportion of Black and African American people live. They include:Northwest Medical Specialties in TacomaNorthwest Medical Specialties in Federal WayHopeCentral pediatrics clinic in south Seattle"It can be difficult for anyone to find an available mental health provider, but we know there are additional, long-standing barriers Black and African American communities face when seeking care," said Kitti Cramer, executive vice president at Premera Blue Cross

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