Clinical Pharmacist, Pharmacy Strategy Team - CarelonRx

About the role

CarelonRx is a proud member of the Elevance Health family of companies. We are seeking a Clinical Pharmacist, Pharmacy Strategy Team to join our team.

Responsibilities

• Design and implement innovative pharmacy programs to manage traditional and specialty drug costs under both medical and pharmacy benefits.
• Research and synthesize detailed clinical data related to pharmaceuticals.
• Prepare and present therapeutic class reviews and drug monograph information to the Pharmacy and Therapeutics Committee.
• Serve as a clinical resource to other pharmacists on areas such as prospective, inpatient and retrospective DURs and provides dosage conversion and clinical support for therapeutic interventions.
• Prepare information for network physicians.

Requirements

• Requires BA/BS in Pharmacy.
• Minimum of 2 years of managed care pharmacy (PBM) experience or residency in lieu of work experience; or any combination of education and experience, which would provide an equivalent background.
• Must possess an active unrestricted state license to practice pharmacy as a Registered Pharmacist (RPh).

Preferred Skills, Capabilities And Experiences

• Experience with medical and pharmacy drug cost containment or formulary strategy in a health plan or PBM setting.
• Strong working knowledge of traditional and high-cost specialty drugs, including biosimilars and oncology agents.
• Ability to translate complex clinical and regulatory concepts into business strategies.

Benefits

Per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

Pay

Competitive salary commensurate with experience.

Schedule

Monday-Friday, standard hours.

Alternate Locations

Alternate locations may be considered if candidates reside within a commuting distance from an office.

Hybrid Work

This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

Qualifications

• BA/BS in Pharmacy.
• Minimum of 2 years of managed care pharmacy (PBM) experience or residency in lieu of work experience; or any combination of education and experience, which would provide an equivalent background.
• Must possess an active unrestricted state license to practice pharmacy as a Registered Pharmacist (RPh).

Equal Opportunity Employer

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.