Remote Prior Authorization Pharmacist

Elevance Health; Topeka (KS); Hybrid; USD 110,000 - 150,000; Full time

Job summary

Elevance Health is seeking a Prior Authorization Clinical Pharmacist to support pharmacy programs with an emphasis on Drug Utilization Review, Drug Information Services, and formulary management. This role combines clinical expertise with utilization review to optimize patient outcomes.

The position requires a PharmD or BA/BS in Pharmacy, current license, and PBM experience. Hybrid/virtual work with occasional in-person sessions is available, subject to commuting requirements.

Qualifications

• Requires BA/BS in Pharmacy.
• Minimum of 2 years of managed care PBM experience or residency in lieu of work experience.
• Requires a registered pharmacist and current unrestricted license.

Responsibilities

• Evaluates and manages selection and utilization of pharmaceuticals for safe, effective use.
• Reviews drug information and formulary decisions in collaboration with committees and medical directors.
• Provides clinical guidance for therapeutic interventions and dosage conversions.

Skills

Clinical pharmacy

Pharmacist license

PBM experience

Drug information

Formulary management

DUR

Education

BA/BS in Pharmacy

Tools

PBM software

Job description

Elevance Health is seeking a Prior Authorization Clinical Pharmacist to support pharmacy programs with an emphasis on Drug Utilization Review, Drug Information Services, and formulary management. This role combines clinical expertise with utilization review to optimize patient outcomes.

The position requires a PharmD or BA/BS in Pharmacy, current license, and PBM experience. Hybrid/virtual work with occasional in-person sessions is available, subject to commuting requirements.