Remote Clinical Pharmacist - Prior Authorization Expert

Elevance Health; Durham (NC); Hybrid; USD 120,000 - 150,000; Full time

Benefits offered by this job

Flexible work arrangements

Job summary

Elevance Health is seeking a Prior Authorization Clinical Pharmacist to evaluate and manage pharmaceutical use and support key clinical pharmacy programs. This full-time role emphasizes DUR, DIS, and formulary management with hybrid/virtual work options.

Requires a BA/BS in Pharmacy and active pharmacist licensure; 2+ years PBM or residency experience preferred; PharmD is a plus. Flexible locations within commuting distance are considered.

Qualifications

• BA/BS in Pharmacy required; PharmD preferred.
• Licensed pharmacist with current state license.
• Experience in managed care pharmacy or residency preferred.

Responsibilities

• Evaluate and manage selection and utilization of pharmaceuticals for safe, effective use.
• Support Drug Utilization Review (DUR), Drug Information Services (DIS), and formulary management.
• Present therapeutic class reviews and drug monographs to P&T Committee.
• Provide clinical guidance for interventions, dosage conversions, and medication use.
• Coordinate with network physicians and clinical teams on recommendations.
• Serve as clinical resource for pharmacists on DURs and related reviews.

Skills

PBM experience

Prior Authorization

Clinical pharmacology

Pharmacist licensure

Education

BA/BS in Pharmacy

PharmD preferred

Tools

DUR systems

Drug Information systems

Job description

Elevance Health is seeking a Prior Authorization Clinical Pharmacist to evaluate and manage pharmaceutical use and support key clinical pharmacy programs. This full-time role emphasizes DUR, DIS, and formulary management with hybrid/virtual work options.

Requires a BA/BS in Pharmacy and active pharmacist licensure; 2+ years PBM or residency experience preferred; PharmD is a plus. Flexible locations within commuting distance are considered.