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.

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.

Schedule: Monday-Friday, standard hours

CarelonRx is a proud member of the Elevance Health family of companies. 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.

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, 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 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, 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.

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.

Job Level: Non-Management Exempt

Workshift:

Job Family: MED > Licensed/Registered Pharmacist/Pharmacy Technician