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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.

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 America's Dream Employers list. In 2024, Newsweek honored Premera as one of America's Greatest Workplaces, America's Greatest Workplaces for Diversity, and America's Greatest Workplaces for Mental Wellbeing. Additionally in 2024, Forbes ranked Premera among America’s Best Midsize Employers for the fourth time.

Learn how Premera supports our members, customers and the communities that we serve through our Healthsource blog: https://healthsource.premera.com/.

We are seeking a strategic Health Plan Pharmacy leader that will oversee pharmacy clinical operations, PBM relationship, formulary, utilization management, and other pharmacy programs and lead the implementation of pharmacy initiatives to ensure regulatory, affordability, clinical quality, and access objectives are achieved. This role provides people, program, and strategic leadership in close partnership with the VP and peer Director of Pharmacy & Clinical Consulting to drive business outcomes.

The Director, Pharmacy Operations & PBM Management will provide direction and oversight in Premera’s Pharmacy strategy, anchored on continuous evolution and enhancement in our dynamic environment as market, customer and regulatory needs shift, clinical innovation and technology advances, and pharmacy value chain complexity increases.

In this role, your leadership will:

• Evolve our pharmacy management model, by building new TCOC (total cost of care) management capabilities and strategic relationships.
• Partner across the organization in the development and achievement of business goals, ensuring alignment with long-term strategic objectives.
• Develop others to champion Premera’s purpose to serve our customer and make healthcare work better

What you will do:

• Set strategic direction for program development, achieving appropriate outcomes and business performance measures related to access, affordability, quality, and experience, including business performance, clinical pharmacy operations, PBM and vendor oversight, utilization management, and formulary.
• Ensure operational excellence, overseeing key areas such as clinical pharmacy operations, PBM and vendor oversight, utilization management, formulary etc. Stays abreast of managed care pharmacy, pharmacy benefits manager, and payer industry environment; regulatory (e.g. state, federal), legislative, accreditation, and competitive market insights – for all lines of business (Commercial (WA, AK), Individual (WA, AK), HMO, FEP).
• Collaborate on the development and implementation of comprehensive strategies for drugs across both pharmacy, medical benefits (including specialty, biosimilar, cell and gene therapies).
  • Partner across the organization in the formulary strategy, clinical programs, product, benefit design, and vendor negotiations.
  • Participate and lead cross-functional projects with multiple internal and external stakeholders and partners.
• Develop effective relationships with functional areas across the organization, driving thoughtful, integrated health plan business outcomes.
• Lead multidisciplinary teams in core areas of responsibility providing individuals growth opportunities to meet the evolving needs of the business.

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Premera total rewards

Our comprehensive total rewards package provides support, resources, and opportunities to help employees thrive and grow. Our total rewards are more than a collection of perks, they're a reflection of our commitment to your health and well-being. We offer a broad array of rewards including physical, financial, emotional, and community benefits, including:

• Medical, vision, and dental coverage with low employee premiums.

• Voluntary benefit offerings, including pet insurance for paw parents.

• Life and disability insurance.

• Retirement programs, including a 401K employer match and, believe it or not, a pension plan that is vested after 3 years of service.

• Wellness incentives with a wide range of mental well-being resources for you and your dependents, including counseling services, stress management programs, and mindfulness programs, just to name a few.

• Generous paid time off to reenergize.

• Looking for continuing education? We have tuition assistance for both undergraduate and graduate degrees.

• Employee recognition program to celebrate anniversaries, team accomplishments, and more.

For our hybrid employees, our on-campus model provides flexibility to create your own routine with access to on-site resources, networking opportunities, and team engagement.

• Commuter perks make your trip to work less impactful on the environment and your wallet.

• Free convenient on-site parking.

• Subsidized on-campus cafes make lunchtime connections with colleagues fun and affordable.

• Engaging on-site events and activities include food trucks, health and wellness, DEI and disaster preparedness fairs, coffee connects, and more.

• Our complementary fitness & well-being center offers both in-person and virtual workouts and nutritional counseling.

• Need a brain break? Challenge someone to a game of shuffleboard or ping pong while on campus.

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.

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.

The salary range for this role is posted below; we generally target up to and around the midpoint of the range.

Salary Range:

We’re happy to discuss compensation further during the interview because we believe that open communication leads to better outcomes for all. We’re committed to creating a diverse and inclusive environment where all employees are celebrated for their unique skills and contributions.