Clinical Pharmacist, Clinical Pharmacy Strategy Team - CarelonRx

Locations

• KY-LOUISVILLE, 3195 TERRA CROSSINGS BLVD STE 203-204 & 300
• FL-TAMPA, 5411 SKY CENTER DR
• OH-MASON, 4361 IRWIN SIMPSON RD
• VA-NORFOLK, 5800 NORTHAMPTON BLVD
• VA-RICHMOND, 2015 STAPLES MILL RD

• 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
• VA-NORFOLK, 5800 NORTHAMPTON BLVD
• VA-RICHMOND, 2015 STAPLES MILL RD

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.

Monday-Friday, standard hours

A proud member of the Elevance Health family of companies, Carelon Rx (formerly Ingenio Rx) leverages the power of new technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care.

The Clinical Pharmacist, Clinical Pharmacy Strategy Team - Carelon Rx is responsible for developing and implementing pharmacy programs.

• 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.

• 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.
• Ability to translate complex clinical and regulatory concepts into business strategies.
• Pharm
  
  D preferred.

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.

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.

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.