Remote Prior Authorization Clinical Pharmacist (PBM)

The Elevance Health Companies, Inc.; Durham (NC); Remote; USD 110,000 - 160,000; Full time

Benefits offered by this job

Comprehensive benefits

401(k) with match

Stock purchase plan

Wellness programs

Job summary

Elevance Health is hiring a Prior Authorization Clinical Pharmacist for a virtual role with required in-person training. The position supports DUR, DIS, and formulary management and requires a valid pharmacist license in the applicable state(s). A strong background in PBM and clinical pharmacology is preferred.

Location options include remote with occasional on-site requirements in designated locations. The role emphasizes heavy collaboration with network physicians and clinical teams, with a

Qualifications

• Requires BA/BS in Pharmacy.
• Minimum of 2 years of managed care pharmacy (PBM) experience or residency.
• Registered pharmacist with current license in applicable state(s).
• Puerto Rico requirements if applicable.

Responsibilities

• Evaluate and manage the selection and utilization of pharmaceuticals for safe, effective, cost-efficient use.
• Support Drug Utilization Review, Drug Information Services, and formulary management.
• Prepare and present drug monographs and therapeutic class reviews.
• Provide clinical guidance for interventions and dosage conversions.
• Coordinate with network physicians and clinical teams.

Skills

PBM experience

DUR

Drug information

Clinical pharmacist

Education

Pharmacy degree (BA/BS)

Job description

Elevance Health is hiring a Prior Authorization Clinical Pharmacist for a virtual role with required in-person training. The position supports DUR, DIS, and formulary management and requires a valid pharmacist license in the applicable state(s). A strong background in PBM and clinical pharmacology is preferred.

Location options include remote with occasional on-site requirements in designated locations. The role emphasizes heavy collaboration with network physicians and clinical teams, with a