Pharmacist Lead- BioPlus

Elevance Health

Costa Mesa (CA)

Hybrid

USD 138,000 - 230,000

Full time

5 days ago
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Job summary

BioPlus Specialty Pharmacy, a part of Elevance Health, seeks a Pharmacist Lead to drive clinical strategy and operational leadership within the BioPlus division. You will mentor pharmacists and lead non-clinical associates to maximize facility production while adhering to regulations and cost-effective drug use.

The role emphasizes clinical program development, governance, and cross-functional collaboration with medical, provider, payer, and technology teams.

Qualifications

  • Requires BA/BS in Pharmacy and a minimum of 3 years of mail service operations experience or an equivalent background.
  • Strong knowledge of pharmacy operations, clinical program management, healthcare regulations, and quality improvement methodologies.
  • Demonstrated ability to influence stakeholders and lead initiatives across multiple business functions.
  • Exceptional project management, communication, organizational, and executive presentation skills.

Responsibilities

  • Serve as the strategic and operational partner to specialty pharmacy leadership, translating priorities into actionable clinical initiatives.
  • Own project timelines, deliverables, and milestones, identifying risks and mitigating them to ensure deadlines are met.
  • Lead development, implementation, and oversight of clinical programs improving patient outcomes and adherence.
  • Coordinate enterprise-wide specialty pharmacy initiatives across clinical operations, payer strategy, quality, and technology.
  • Monitor and evaluate performance metrics to improve quality, patient experience, access, and efficiency.
  • Lead governance, executive reporting, and performance reviews for clinical programs.
  • Partner with medical, pharmacy, and population health leaders to develop evidence-based care models.

Skills

Pharmacy operations
Clinical program management
Project management
Executive presentation skills
Influence stakeholders
Communication
Organizational skills

Education

BA/BS in Pharmacy

Job description

Anticipated End Date:

2026-10-26

Position Title:

Pharmacist Lead- BioPlus

Job Description:

Pharmacist Lead

Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

BioPlus Specialty Pharmacy is a proud member of the Elevance Health family of companies. BioPlus offer consumers and providers an unparalleled level of service that’s easy and focused on whole health. Through our distinct clinical expertise, digital capabilities, and broad access to specialty medications across a wide range of conditions, we deliver an elevated experience, affordability, and personalized support throughout the consumer’s treatment journey.

The Pharmacist Lead will have an emphasis in clinical strategy, operational leadership, cross-functional alignment, performance management, and executive support. Will be responsible for overseeing daily business operations through mentoring pharmacists and providing leadership to non-clinical associates to maximize facility production in compliance with applicable regulations and promote cost effective drug use.

How you will make an impact:
  • Serve as the strategic and operational partner to specialty pharmacy leadership, translating organizational priorities into actionable clinical initiatives.
  • Own project timelines, deliverables, and critical milestones, proactively identifying risks and implementing mitigation strategies to ensure deadlines are met.
  • Lead the development, implementation, and oversight of clinical programs that improve patient outcomes, medication adherence, and quality performance.
  • Coordinate enterprise-wide specialty pharmacy initiatives across clinical operations, provider engagement, payer strategy, quality, compliance, and technology teams.
  • Monitor and evaluate specialty pharmacy performance metrics, identifying opportunities to improve quality, patient experience, access to therapy, and operational efficiency.
  • Lead governance processes, executive reporting, and performance reviews related to specialty pharmacy clinical programs.
  • Partner with medical, pharmacy, and population health leaders to develop evidence-based clinical strategies and care models.
  • Serve as a liaison between leadership and frontline clinical teams, ensuring organizational priorities are effectively communicated and executed.
  • Lead cross-functional problem solving for high-priority operational, clinical, and regulatory issues.
  • Facilitate executive decision-making through data analysis, business case development, and presentation of strategic recommendations.
  • Sponsor initiatives focused on health outcomes, patient engagement, medication safety, and equitable access to specialty therapies.
  • Partner with analytics teams to establish outcome measurement frameworks and demonstrate clinical and economic value.
  • Support payer, manufacturer, and provider partnership strategies by providing clinical expertise and program leadership.
  • Represent specialty pharmacy leadership in executive committees, enterprise workgroups, and external stakeholder engagements.
  • Lead special projects and enterprise transformation efforts that advance the organization’s specialty pharmacy vision and growth strategy.
  • Ensure clinical operations are aligned with organizational goals, regulatory requirements, and industry best practices while maintaining a patient-centered focus.
  • Coordinates daily scheduling issues and standards of practice for clinical and non-clinical associates.
  • Provides work direction, training and development of associate.
  • Contributes input to performance reviews.
  • Acts as a liaison and interacts with other functional areas to lead development of technical process updates.
  • Chairs project teams.
  • Leads the creation and filling of staffing models, based on business needs.
Minimum Requirements:

Requires BA/BS in Pharmacy and a minimum of 3 years of experience in working with mail service operations related pharmacy experience; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:
  • Current valid active unrestricted RPH license to practice pharmacy in applicable states is strongly preferred. Significant experience leading enterprise-wide clinical and operational projects is preferred.
  • Minimum of 3 years experience in working with mail service operations or related pharmacy experience; or any combination of education and experience, which would provide an equivalent background highly preferred.
  • Strong knowledge of pharmacy operations, clinical program management, healthcare regulations, and quality improvement methodologies strongly preferred.
  • Demonstrated ability to influence stakeholders and lead initiatives across multiple business functions is preferred.
  • Exceptional project management, communication, organizational, and executive presentation skills are strongly preferred.

For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US.

For candidates working in person or virtually in the below locations, the salary* range for this specific position is $133,980 to $229,680

Location: California, Nevada, and New Jersey.

In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education, and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company’s sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

Job Level:

Non-Management Exempt

Workshift:

1st Shift (United States of America)

Job Family:

MED > Licensed/Registered Pharmacist/Pharmacy Technician

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

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 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state, and local laws.

Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.

NOTE

Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Example: If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM. In other words — the job is posted until 3/13, not through 3/13.

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