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Clinical Pharmacist for Medicaid Programs
2 months ago
Job Overview
Position: Medicaid Pharmacy Specialist - CarelonRx
Location: Candidates should reside within a reasonable commuting distance from designated office locations, operating under a hybrid work model.
As a proud member of the Elevance Health family, CarelonRx (previously IngenioRx) utilizes innovative technologies and a strong clinical focus to provide exceptional pharmacy care tailored to our members.
Key Responsibilities:
- Oversee the management of Medicaid formulary processes.
- Communicate formulary changes to members, stakeholders, and providers.
- Ensure proper formulary configurations and claims processing.
- Act as a clinical pharmacy resource for pharmacy benefit management and operational teams.
- Guarantee compliance of Medicaid formularies with relevant state and federal regulations.
- Conduct research and analyze detailed clinical data regarding pharmaceuticals.
- Provide clinical support to fellow pharmacists in various areas, including DURs and therapeutic interventions.
Minimum Qualifications:
- Bachelor's degree in Pharmacy.
- At least 2 years of experience in managed care pharmacy or equivalent residency.
- Must be a licensed pharmacist with an active state license.
Preferred Qualifications:
- PharmD degree is preferred.
- Experience in Medicaid formulary management is highly desirable.
- Excellent communication, problem-solving, and analytical skills.
- Proficiency in Microsoft Excel.
Compensation: The salary range for this position is competitive and based on various factors, including experience and location.
About Elevance Health:
Elevance Health is committed to enhancing lives and communities through improved healthcare solutions. As a Fortune 25 company, we seek individuals who are passionate about making a difference in the lives of our members.
Work Environment:
Elevance Health promotes a hybrid workforce strategy, requiring associates to work onsite at least once a week, with specific expectations discussed during the hiring process.
Equal Opportunity Employer:
Elevance Health is an Equal Employment Opportunity employer, ensuring that all qualified applicants receive consideration for employment without discrimination.
