Hybrid Clinical Pharmacist P&T & Utilization

Elevance Health; Independence Township (OH); Hybrid; USD 119,000 - 215,000; Full time

Job summary

Elevance Health is seeking a Pharmacist Clinical to support clinical utilization management programs such as prior authorization, step therapy, and quantity limits. The role collaborates with medical directors, nurses, and business leaders to implement clinical criteria across claims systems.

The position requires a BA/BS in Pharmacy with an active RPh license and 2 years of managed care experience or residency; PharmD and P&T experience are highly preferred.

Qualifications

• Requires BA/BS in Pharmacy and an active state license as a Registered Pharmacist (RPh).
• Minimum 2 years of managed care pharmacy experience or residency in lieu of work experience.
• PharmD preferred; residency and experience with Pharmacy and Therapeutics (P&T) preferred.
• Experience in cross-mapping clinical codes and validating data using Medi-Span is highly preferred.

Responsibilities

• Researches and synthesizes detailed clinical data related to pharmaceuticals.
• Prepares and presents drug monograph information to the Pharmacy and Therapeutics Committee.
• Serves as a clinical resource on prospective, inpatient and retrospective DURs and dosage conversion.

Skills

Pharmacy knowledge

Clinical utilization management

Drug information

Education

BA/BS in Pharmacy

PharmD preferred

Residency in Pharmacy

Tools

Medi-Span database

Job description

Elevance Health is seeking a Pharmacist Clinical to support clinical utilization management programs such as prior authorization, step therapy, and quantity limits. The role collaborates with medical directors, nurses, and business leaders to implement clinical criteria across claims systems.

The position requires a BA/BS in Pharmacy with an active RPh license and 2 years of managed care experience or residency; PharmD and P&T experience are highly preferred.