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Clinical Pharmacist, Pharmacy Strategy Team - CarelonRx

The Elevance Health Companies, Inc.

Position Title Clinical Pharmacist, Pharmacy Strategy Team – CarelonRx Locations GA – Atlanta, 740 W Peachtree St NW IN – Indianapolis, 220 Virginia Ave KY – Louisville, 3195 Terra Crossings Blvd Ste 203‑204 & 300 FL‑Tampa, 5411 Sky Center Dr OH – Mason, 4361 Irwin Simpson Rd Hybrid Work Model 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. Alternate locations may be considered if candidates reside within a commuting distance from an office. Schedule Monday‑Friday, standard hours. Overview CarelonRx pairs a strong, clinical‑first lens with deep pharmacy expertise to create solutions that improve outcomes, control costs, and enhance each member’s health. The Clinical Pharmacist will implement and maintain pharmacy programs. Key Responsibilities Design and implement innovative pharmacy programs to manage traditional and specialty drug costs under both medical and pharmacy benefits. Research and synthesize detailed clinical data related to pharmaceuticals. Prepare and present therapeutic class reviews and drug monograph information to the Pharmacy and Therapeutics Committee. Serve as a clinical resource to other pharmacists on areas such as prospective, inpatient and retrospective DURs and provide dosage conversion and clinical support for therapeutic interventions. Prepare information for network physicians. Minimum Requirements 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 that provides an equivalent background. Registered pharmacist with an active unrestricted state license (RPh). Preferred Skills, Capabilities and Experiences Experience with medical and pharmacy drug cost containment or formulary strategy in a health plan or PBM setting. Strong working knowledge of traditional and high‑cost specialty drugs, including biosimilars and oncology agents. Ability to translate complex clinical and regulatory concepts into business strategies. PharmD qualification. Eligibility Constraints Must be located in a U.S. state or territory when conducting utilization review or an appeals consideration and cannot be on a U.S. military base, vessel or any embassy outside of the U.S., unless command‑sanctioned activities. For URAC accredited areas, professional competencies include strong oral, written and interpersonal communication skills, problem‑solving skills, facilitation skills, and analytical skills. EEO Statement 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, gender, marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status protected by applicable federal, state, or local laws. #J-18808-Ljbffr The Elevance Health Companies, Inc.

Vacancy posted 4 days ago
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