Clinical Pharmacist, Pharmacy Strategy Team - CarelonRx

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: 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. Alternate locations may be considered if candidates reside within a commuting distance from an office. Schedule: Monday-Friday, standard hours Clinical Pharmacist, Pharmacy Strategy Team - CarelonRx is responsible for implementing and maintaining pharmacy programs. How you will make an impact 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 provides dosage conversion and clinical support for therapeutic interventions. Prepare information for network physicians. 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 that provides 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 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. Unless expressly allowed by state or federal law, an associate 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. 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 associates working within Puerto Rico who are member or patient facing either in a clinical setting or in the Best Transportation unit, a current PR health certificate and a current PR Law 300 certificate are required for this position. 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 View email address on click.appcast.io 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. Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration. #J-18808-Ljbffr Elevance Health