Population Health Management Pharmacist

2 days ago


Columbus, Ohio, United States Elevance Health Full time
Job Title: Population Health Management Pharmacist

We are seeking a highly skilled Population Health Management Pharmacist to join our team at Elevance Health. As a key member of our pharmacy team, you will play a critical role in managing the selection and utilization of pharmaceuticals and supporting core clinical programs for contracted provider groups.

Key Responsibilities:
  • Research and synthesize detailed clinical data related to pharmaceuticals to assist contracted providers in achieving cost and quality goals.
  • Serve as a clinical resource to other pharmacists and contracted providers in areas such as prospective, inpatient, and retrospective DURs and clinical support for therapeutic interventions.
  • Prepare information for network physicians using data within provider tools including Excel.
  • Evaluate pharmacy quality program data and work with stakeholders to identify, prioritize, and implement strategies to optimize medication use and manage pharmacy spending effectively.
  • Act as a subject matter expert in pharmacy-related clinical measures for value-based care agreements.
  • Work to improve pharmacy quality by staying up to date on STAR and HEDIS measures.
  • Provide education to support clinical pharmacy measures and reduce pharmacy costs.
  • Build impactful relationships with providers to close the feedback loop between pharmacy and provider.
Requirements:
  • 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.
  • Registered pharmacist with an active unrestricted state license to practice pharmacy as a Registered Pharmacist (RPh).
Preferred Qualifications:
  • PharmD preferred.
  • Experience in medication use quality improvement programs, analyzing pharmacy spend and trends, and Medicare Star Part D measures strongly desired.
  • Experience working with Medicare and Commercial providers strongly preferred.
  • PBM or Managed Care experience highly desired.
  • Proficiency with Excel preferred.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs. Elevance Health operates in a Hybrid Workforce Strategy, and 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.



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