Remote Prior Authorization Pharmacist | Clinical DUR

Elevance Health; Seattle (WA); Remote; USD 119,000 - 206,000; Full time

Benefits offered by this job

Comprehensive benefits package

401(k) contribution

Equity stock purchase plan

Job summary

Elevance Health is seeking a Prior Authorization Clinical Pharmacist to optimize drug use, support DUR/DIS programs and formulary management, and provide clinical guidance across networks. This virtual role requires a BA/BS in Pharmacy, active pharmacist license, and PBM or residency experience.

The position supports P&T reviews and collaboration with physicians and pharmacy teams; alternative locations within commuting distance may be considered.

Qualifications

• BA/BS in Pharmacy required.
• Minimum 2 years of managed care PBM experience or residency.
• Current unrestricted Pharmacist license in applicable states.
• PharmD is preferred.

Responsibilities

• Evaluate and manage pharmaceutical utilization for safety and effectiveness.
• Prepare and present drug monographs and therapeutic class reviews.
• Support Drug Utilization Review (DUR), Drug Information Services (DIS), and formulary management initiatives.
• Coordinate with physicians and network pharmacies for coverage approvals.

Skills

PBM experience

Clinical pharmacology

Drug information

Therapeutic knowledge

Education

BA/BS in Pharmacy

Job description

Elevance Health is seeking a Prior Authorization Clinical Pharmacist to optimize drug use, support DUR/DIS programs and formulary management, and provide clinical guidance across networks. This virtual role requires a BA/BS in Pharmacy, active pharmacist license, and PBM or residency experience.

The position supports P&T reviews and collaboration with physicians and pharmacy teams; alternative locations within commuting distance may be considered.