Clinical Pharmacist
Clinical Pharmacist
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Job Description
Anticipated End Date:
Position Title:
Clinical PharmacistJob Description:
Be Part of an Extraordinary Team
CarelonRx is a proud member of the Elevance Health family of companies providing unparalleled level of service in pharmacy benefits. By leveraging the power of new technologies our strong clinical-first lens and deep pharmacy expertise we are actively defining our innovative role in the industry.
Build the Possibilities. Make an Extraordinary Impact.
Title: Pharmacist Clinical
Location(s): Miami FL
Hybrid: This role requires associates to be in-office 1 - 2 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.
The Population Health Management Pharmacist (Pharmacist Clinical) is responsible for managing the selection and utilization of pharmaceuticals and supports core clinical programs for contracted provider groups formulary management achieving quality and cost goals.
How you will make an impact:
Researches and synthesizes detailed clinical data related to pharmaceuticals to assist contracted providers in achieving cost and quality goals.
Serves as a clinical resource to other pharmacists and contracted providers in areas such as prospective inpatient and retrospective DURs and clinical support for therapeutic interventions.
Prepares information for network physicians using data within provider tools including Excel.
Evaluate pharmacy quality program data and work with stakeholders to identify prioritize and implement strategies to optimize medication use and manage pharmacy spending effectively.
During practice-level discussions act as a subject matter expert in pharmacy-related clinical measures for value-based care agreements.
Work to improve pharmacy quality by staying up to date on STAR and HEDIS measures.
Provider education to support clinical pharmacy measures and reduce pharmacy costs.
Build impactful relationships with providers to close the feedback loop between pharmacy and provider.
Travel locally to meet in the field with providers.
Minimum Requirements:
Requires BA/BS in Pharmacy.
Minimum of 2 years of managed care pharmacy (PBM) experience or residency in lieu of work experience; or any combination of education and experience which would provide an equivalent background.
Requires a registered pharmacist.
Must possess an active unrestricted state license to practice pharmacy as a Registered Pharmacist (RPh).
Preferred Qualifications Skills and Experiences:
PharmD preferred.
Experience in medication use quality improvement programs analyzing pharmacy spend and trends and Medicare Star Part D measures strongly desired.
Experience working with Medicare and Medicaid providers strongly preferred.
PBM or Managed Care experience highly desired.
Proficiency with Microsoft Excel preferred.
Job Level:
Non-Management ExemptWorkshift:
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.
Employment Type
Full-Time
