Clinical Operations Manager

4 weeks ago


Grand Prairie, Texas, United States Elevance Health Full time
Job Summary

We are seeking a highly skilled Clinical Operations Manager to join our team at Elevance Health. This role will be responsible for developing and implementing clinical pharmacy programs to promote quality and cost-effective drug utilization in our Mail Order Pharmacy.

Key Responsibilities

Develop and implement clinical pharmacy programs to promote quality and cost-effective drug utilization
Oversee the Front End operations team in mail order pharmacy
Responsible for oversight of Pharmacists and technicians working in the pharmacy
Supports day to day queue operations, oversight of workflow, monitoring aging and quality improvement
Manages clinical pharmacy operations and staff to ensure pharmacy's objectives and deliverables are met
Oversees departmental processes, policies and procedures, training, and communication
Reports and analyzes program trends. Ensures achievement of department goals and objectives
Hires, trains, coaches, counsels, and evaluates performance of direct reports

Requirements

Requires BA/BS in Pharmacy or a PharmD and minimum of 5 years of experience in managed care, authorization, or related pharmacy experience; or any combination of education and experience, which would provide an equivalent background
Must possess an active, current and valid unrestricted state license (Rph) to practice pharmacy within the scope of practice in a state or territory of the United States
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 United States

Preferred Skills, Capabilities, and Experiences

Experience in mail order operations, managing in a fast paced environment and cross functional partnership with enterprise business partners strongly preferred

About Elevance Health

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. 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. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location. 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. 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.

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