Remote Clinical Pharmacist – Prior Authorization

Elevance Health; Lowes Grove (NC); Hybride; USD 90 000 - 130 000; Plein temps

Résumé du poste

Elevance Health is seeking Pharmacist Clinical professionals licensed in North Carolina or Kansas to join our team. This virtual‑eligible role supports the Prior Authorization process and formulary management, with in‑person training sessions as required.

You should reside within a reasonable distance of an Elevance Health office. The position emphasizes clinical data review, drug monographs, and collaboration with healthcare professionals to ensure medical necessity and appropriate coverage

Qualifications

• Requires BA/BS in Pharmacy.
• Minimum of 2 years of managed care pharmacy experience or residency.
• Active, unrestricted pharmacist license.
• For Puerto Rico associates, PR health certificate and PR Law 300 certificates are required.

Responsabilités

• Researches and synthesizes detailed clinical data related to pharmaceuticals.
• Prepares and presents therapeutic class reviews and drug monographs to the Pharmacy and Therapeutics Committee.
• May review and approve or deny coverage for pharmaceuticals based on medical necessity criteria and coordinates with health plan medical directors.
• Serves as a clinical resource to other pharmacists on DURs and provides dosage conversion and clinical support for interventions.
• Prepares information for network physicians.

Connaissances

Communication skills

Analytical skills

Formation

BA/BS in Pharmacy

PharmD (preferred)

Residency or equivalent experience

Description du poste

Elevance Health is seeking Pharmacist Clinical professionals licensed in North Carolina or Kansas to join our team. This virtual‑eligible role supports the Prior Authorization process and formulary management, with in‑person training sessions as required.

You should reside within a reasonable distance of an Elevance Health office. The position emphasizes clinical data review, drug monographs, and collaboration with healthcare professionals to ensure medical necessity and appropriate coverage