Hybrid Clinical Pharmacist - Utilization & P&T Lead

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

Job summary

Elevance Health is seeking a Pharmacist Clinical to manage pharmaceutical selection and support clinical utilization management programs. The role emphasizes hybrid work with in-office days and alternate locations for eligible candidates.

The position requires a PharmD-level understanding, with a focus on prior authorization, step therapy, and clinical criteria to ensure cost-effective drug therapy and proper claims system setup.

Qualifications

• Requires BA/BS in Pharmacy.
• Minimum of 2 years managed care pharmacy experience or residency.
• Must possess an active unrestricted state license to practice pharmacy.

Responsibilities

• Researches and synthesizes detailed clinical data related to pharmaceuticals.
• Prepares and presents therapeutic class reviews and drug monographs to the Pharmacy and Therapeutics Committee.
• Serves as a clinical resource to other pharmacists on DURs and provides dosage conversion and clinical support.
• Lead development and maintenance of clinical criteria for drugs that process on the pharmacy and medical benefits.
• Presents and collaborates with internal stakeholders on clinical utilization strategies.

Skills

Pharmacist

Clinical data analysis

Education

BA/BS in Pharmacy

Registered Pharmacist license

Job description

Elevance Health is seeking a Pharmacist Clinical to manage pharmaceutical selection and support clinical utilization management programs. The role emphasizes hybrid work with in-office days and alternate locations for eligible candidates.

The position requires a PharmD-level understanding, with a focus on prior authorization, step therapy, and clinical criteria to ensure cost-effective drug therapy and proper claims system setup.