Manager, Pharmacy Clinical Operations
Manager, Pharmacy Clinical Operations
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Job Description
Anticipated End Date:
Position Title:
Manager Pharmacy Clinical OperationsJob Description:
A proud member of the Elevance Health family of companies CarelonRx (formerly IngenioRx) leverages the power of new technologies and a strong clinical-first lens to deliver member-centered lasting pharmacy care.
The Clinical Pharmacy Care Center (CPCC) is a clinical pharmacy call center that services Medicare Medicaid and the Commercial member populations. The members we reach out to have been identified as having gaps in care. Our goal is to close those gaps through education and assistance.
Title: Manager Pharmacy Clinical Operations
Location: Atlanta GA 740 W Peachtree Street NW
Hybrid: This role requires associates to be in-office 3 days per week fostering collaboration and connectivity while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work promoting a dynamic and adaptable workplace. Alternate locations may be considered.
The Manager Pharmacy Clinical Operations is responsible for developing and implementing clinical pharmacy programs to promote quality and cost-effective drug utilization.
How you will make an impact:
Primary duties may include but are not limited to:
Assists in the development of new clinical products.
Oversees the Prior Authorization Center.
Implements new prior authorization program.
Manages clinical pharmacy operations and staff to ensure clients objectives and deliverables are met.
Oversees departmental processes policies and procedures training and communication.
Reports and analyzes prior authorization program trends.
Ensures achievement of department goals and objectives.
Hires trains coaches counsels and evaluates performance of direct reports.
Minimum Requirements:
Requires BA/BS in Pharmacy or a PharmD and minimum of 5 years of experience in managed care authorization or related pharmacy experience; or any combination of education and experience which would provide an equivalent background.
Must possess an active current and valid unrestricted state license (Rph) to practice pharmacy within the scope of practice in a state or territory of the United States.
Unless expressly allowed by state or federal law or regulation must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base vessel or any embassy located in or outside of the United States.
Preferred Skills Capabilities and Experiences:
Experience directing multi-functional teams; account management or customer service experience highly preferred.
Proficient with Microsoft 360; Excel Power Point OneNote preferred.
For URAC accredited areas the following professional competencies apply: Associates in this role are expected to have strong oral written and interpersonal communication skills problem-solving skills facilitation skills and analytical skills.
Job Level:
ManagerWorkshift:
1st Shift (United States of America)Job Family:
MED > Licensed/Registered Pharmacist/Pharmacy TechnicianPlease 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 market-competitive 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.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 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.
Required Experience:
Manager
Employment Type
Full-Time
