Pharmacist Clinical

Pharmacist Clinical

Hybrid 1 : 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.

The Pharmacist Clinical is responsible for managing the selection and utilization of pharmaceuticals and supports core clinical utilization management programs such as prior authorization, step therapy, quantity limitations and then works with the operational areas to ensure the clinical criteria is implemented correctly.

How you will make an impact:

•Researches and synthesizes detailed clinical data related to pharmaceuticals.

•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.

•Lead development and maintenance of clinical criteria for drugs that process on the pharmacy and medical benefits (clinical utilization management edits).

•Researches and synthesizes high quality clinical evidence related to the efficacy and safety of drugs and biologics.

•Reviews clinical evidence and guideline recommendations to create and maintain clinical criteria (clinical utilization management edits) that ensure members receive appropriate, cost effective drug therapy. These point of sale edits include but are not limited to prior authorization, step therapy, and quantity limitation.

•Prepares and presents drug clinical criteria through quarterly Pharmacy and Therapeutics (P&T) Process.

•Works with the clinical operations teams to ensure appropriate claims system set-up and clinical review algorithms are in place for P&T approved point of sale edits.

•Presents and collaboration with internal stakeholders (medical directors, pharmacists, nurses, business area leads, etc.).

•Provides drug information support to internal stakeholders as needed.

•Serves as a clinical pharmacy resource to pharmacy account management and trend management teams.

•Ensures compliance of pharmacy utilization management edits in accordance with state and federal mandates and contractual agreements.

•Drug pipeline monitoring and evaluation support.

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:

•PharmD preferred.

•Residency and experience with Pharmacy and Therapeutics (P&T) preferred.

•Experienced in cross-mapping clinical codes, optimizing drug-utilization screening rules, and validating clinical data accuracy using the Medi-Span database is highly preferred.

For candidates working in person or virtually in the below locations, the salary* range for this specific position is $119,360 to $214,848

Location: California, Virginia, New Jersey, New York, Columbus Ohio, Illinois & Nevada.

In addition to your salary, 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, non-discriminatory 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 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 Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

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 should submit the Accessibility Accommodation Request Form ( and a member of the team will be in contact.

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 ( .