Hybrid Clinical Pharmacist — P&T & Utilization Expert

The Elevance Health Companies, Inc.; Mason (OH); Hybrid; USD 119,000 - 215,000; Full time

Benefits offered by this job

Comprehensive benefits

401(k) + match

Stock purchase plan

Hybrid work model

Job summary

Elevance Health seeks a Pharmacist Clinical to join our hybrid team. This role combines in-office collaboration 1–2 days weekly with flexible virtual work, handling clinical utilization management duties and contributing to P&T processes.

Responsibilities include researching drug data, presenting drug monographs, and ensuring compliance with state and federal mandates. Requires an active state license and PharmD/Residency preferred, with PBM experience advantageous.

Qualifications

• Requires BA/BS in Pharmacy.
• Must possess an active unrestricted state license to practice as a Registered Pharmacist (RPh).
• PharmD preferred and residency experience are advantageous.
• Residency in Pharmacy and Therapeutics (P&T) is preferred.
• Cross-mapping clinical codes and validating data is beneficial.

Responsibilities

• Researches and synthesizes detailed clinical data related to pharmaceuticals.
• Prepares and presents therapeutic class reviews and drug monograph information to the Pharmacy and Therapeutics Committee.
• Presents drug clinical criteria via quarterly P&T process.
• Works with operations to ensure claims system and clinical review algorithms align with P&T approvals.
• Provides drug information support to internal stakeholders.

Skills

Active Pharmacist License

Clinical data analysis

Clinical utilization management

Education

BA/BS in Pharmacy

PharmD preferred

Tools

Medi-Span database

Job description

Elevance Health seeks a Pharmacist Clinical to join our hybrid team. This role combines in-office collaboration 1–2 days weekly with flexible virtual work, handling clinical utilization management duties and contributing to P&T processes.

Responsibilities include researching drug data, presenting drug monographs, and ensuring compliance with state and federal mandates. Requires an active state license and PharmD/Residency preferred, with PBM experience advantageous.