Pharmacist Clinical
Pharmacist Clinical
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Job Description
Anticipated End Date:
Position Title:
Pharmacist ClinicalJob Description:
A proud member of the Elevance Health family of companies CarelonRx leverages the power of new technologies and a strong clinicalfirst lens to deliver membercentered lasting pharmacy care.
Pharmacist Clinical
Location: This position is primarily a Virtual/Remote role. Ideal candidates Must live within 50 miles of an Elevance Health corporate office.
Work Shift Hours: Monday through Friday 9:00 am to 5:30 pm (EST) rotating weekends and holidays.
The Pharmacist Clinical is responsible for managing the selection and utilization of pharmaceuticals and supports core clinical programs such as DUR DIS and formulary management.
How you will make an impact:
Researches and synthesizes detailed clinical data related to pharmaceuticals.
May review and approve or deny coverage for pharmaceuticals (as permitted by state/federal law or state/federal program contracts) based on medical necessity criteria and coordinates with internal stakeholders or health plan medical directors as needed.
Serves as a clinical resource to other pharmacists on areas such as prospective inpatient and retrospective DURs and provides dosage conversion and clinical support for therapeutic interventions.
Prepares information for network physicians.
Conducting peer to peers with prescribers on adverse determinations.
Working weekends and holidays on a rotating basis.
Minimum Requirements:
Requires BA/BS in Pharmacy.
Minimum of 2 years of managed care pharmacy (PBM) experience or pharmacy residency in lieu of work experience; or any combination of education and experience which would provide an equivalent background.
Must possess an active unrestricted state license to practice pharmacy as a Registered Pharmacist (RPh) in the United States.
For URAC accredited areas the following professional competencies apply: Associates in this role are expected to have strong oral written and interpersonal communication skills problemsolving skills facilitation skills and analytical skills.
Preferred Skills Capabilities and Experiences:
PharmD preferred.
A registered pharmacist license in either GA IN and/or KS preferred.
Experience working in a fast paced environment.
Experience working in a virtual/remote setting.
Job Level:
NonManagement ExemptWorkshift:
1st Shift (United States of America)Job Family:
MED > Licensed/Registered PharmacistPlease be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes including those submitted to hiring managers are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy power our business outcomes and drive our shared success for our consumers our associates our communities and our business.
We offer a range of marketcompetitive total rewards that include merit increases paid holidays Paid Time Off and incentive bonus programs (unless covered by a collective bargaining agreement) medical dental vision short and long term disability benefits 401(k) match stock purchase plan life insurance wellness programs and financial education resources to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager associates are required to work at an Elevance Health location at least once per week and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1hour commute each way of a relevant Elevance Health location.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/memberfacing roles to become vaccinated against COVID19 and Influenza. If you are not vaccinated your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age citizenship status color creed disability ethnicity genetic information gender (including gender identity and gender expression) marital status national origin race religion sex sexual orientation veteran status or any other status or condition protected by applicable federal state or local laws. Applicants who require accommodation to participate in the job application process may contact for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal state and local laws including but not limited to the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
Employment Type
Full-Time
