Pharmacist Clinical

Anticipated End Date:

Position Title:

Job Description:

Clinical Analytic Pharmacist

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.

Office location: The selected candidate must reside within 50 miles of a PulsePoint office. Preferably Mason OH; St. Louis MO; Durham NC; Grand Prairie TX; Chicago IL; Indianapolis IN; Nashville TN. Alternate locations may be considered if candidates reside within a commuting distance from an office.

In Office Expectation: 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.

Please note that per our policy on hybrid/virtual work candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment unless an accommodation is granted as required by law.

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. Primary responsibility is planning and development of budget impact models for pipeline drugs biologics and gene therapies using medical and pharmacy claims data. This role requires close collaboration with cross-functional partnersincluding Clinical Pharmacy Formulary Actuary Pricing/Underwriting and other key business leaders.

How You Will Make an Impact:

• Research synthesize and evaluate clinical evidence related to the efficacy safety and attributes of drugs biologics and gene therapies.
• Drug biologic and gene therapy pipeline monitoring and evaluation support.
• Prepares and presents therapeutic class reviews and drug monograph information to the Pharmacy and Therapeutics Committee.
• 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.
• Evaluate third party sources for drug pipeline financial forecasts.
• Estimate future financial impact of new therapeutic options leveraging clinical and analytic data for Commercial Medicare and Medicaid lines of business.
• Refine model estimates based on real-time utilization patterns and post-marketing information.

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 Skills Capabilities & Experiences:

• Advance degree preferred (PharmD MBA MPH or equivalent)
• 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 US unless they are command-sanctioned activities.
• Minimum of 2 years of experience in pharmacy benefit management (PBM).
• Strong understanding of analytics statistics or epidemiology.
• Strong analytical data interpretation and trend management skills.
• Experience in analysis of large pharmacy and medical data with knowledge and skilled in MS Excel and SQL is highly preferred. Additional statistical or analytic tools skills are a plus (e.g. SAS Python Databricks and/or Snowflake).
• Excellent communication and presentation skills with the ability to engage leadership and cross-functional stakeholders.
• Proven project management skills including timeline development prioritization and cross-functional coordination.

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.

For candidates working in person or virtually in the below location(s) the salary* range for this specific position is $109060to $189420

Locations: Illinois

Elevance Health offers benefits such as a comprehensive benefits package incentive and recognition programs equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate nondiscriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender race or any other category protected by federal state and local pay equity laws.

* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location work experience education and/or skill level. Even within the range the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned vested and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus commission benefits or any other form of compensation and benefits that are allocable to a particular employee remains in the Companys sole discretion unless and until paid and may be modified at the Companys sole discretion consistent with the law.

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Workshift:

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Please 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.