Clinical Pharmacist
4 weeks ago
We are seeking a highly skilled Clinical Pharmacist to join our team at Elevance Health. As a Clinical Pharmacist, you will play a critical role in managing the selection and utilization of pharmaceuticals, supporting core clinical programs, and providing expert clinical guidance to our pharmacists.
Key Responsibilities:
- Research and synthesize detailed clinical data related to pharmaceuticals.
- Review and approve or deny coverage for pharmaceuticals based on medical necessity criteria.
- Provide clinical support and guidance to pharmacists on areas such as prospective, inpatient, and retrospective DURs.
- Make prior authorization determinations and coordinate with internal stakeholders and health plan medical directors as needed.
Requirements:
- BA/BS in Pharmacy.
- Minimum of 2 years of managed care pharmacy (PBM) experience or residency in lieu of work experience.
- Registered pharmacist with an active unrestricted state license to practice pharmacy.
Preferred Skills:
- PharmD.
- Experience with direct patient counseling, provider interaction, and/or education.
- Excellent PC and Microsoft Office skills.
About Elevance Health:
Elevance Health is a health company dedicated to improving lives and communities. 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.
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