Jobs · Healthcare · Ohio

Pharmacist Clinical

Elevance Health · Mason, OH · 4 wk ago
Healthcare$119k–$215k/yrFull-time
We need to output only HTML fragment, using

for section headings like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We must not repeat job title as heading. Must include sections only when posting has real, specific content. Must preserve all substantive info, not invent or summarize away detail. Remove boilerplate, navigation, legal, EEO, equal-opportunity, scam-warning, duplicated lines, application instructions. Also remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. We need to parse the posting. Let's extract sections: - Hybrid work description: "Hybrid 1: 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. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that 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." That's about hybrid schedule. Could be placed under a "Schedule" heading? The instruction says use

for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). So we can have a Schedule section with that content. - The Pharmacist Clinical is responsible for managing the selection and utilization of pharmaceuticals and supports core clinical utilization management programs such as prior authorization, step therapy, quantity limitations and then works with the operational areas to ensure the clinical criteria is implemented correctly. That's a description of role; could be "About the role" or "Responsibilities". Probably "About the role" for overview. - "How You Will Make An Impact" bullet list: many responsibilities. Those are duties/responsibilities. So we can put under "Responsibilities" as
  • . List items: - Researches and synthesizes detailed clinical data related to pharmaceuticals. - Prepares and presents therapeutic class reviews and drug monograph information to the Pharmacy and Therapeutics Committee. - Serves 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. - Lead development and maintenance of clinical criteria for drugs that process on the pharmacy and medical benefits (clinical utilization management edits). - Researches and synthesizes high quality clinical evidence related to the efficacy and safety of drugs and biologics. - Reviews clinical evidence and guideline recommendations to create and maintain clinical criteria (clinical utilization management edits) that ensure members receive appropriate, cost effective drug therapy. These point of sale edits include but are not limited to prior authorization, step therapy, and quantity limitation. - Prepares and presents drug clinical criteria through quarterly Pharmacy and Therapeutics (P&T) Process. - Works with the clinical operations teams to ensure appropriate claims system set-up and clinical review algorithms are in place for P&T approved point of sale edits. - Presents and collaboration with internal stakeholders (medical directors, pharmacists, nurses, business area leads, etc.). - Provides drug information support to internal stakeholders as needed. - Serves as a clinical pharmacy resource to pharmacy account management and trend management teams. - Ensures compliance of pharmacy utilization management edits in accordance with state and federal mandates and contractual agreements. - Drug pipeline monitoring and evaluation support. We need to preserve all substantive info; we can keep each as separate
  • . - Minimum 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. Requires a registered pharmacist.Must possess an active unrestricted state license to practice pharmacy as a Registered Pharmacist (RPh)". That's qualifications/requirements. Could be under "Requirements" or "Qualifications". The instruction includes both Requirements and Qualifications as possible headings. We need to decide which to use. Probably "Requirements" for minimum requirements, and "Qualifications" for preferred skills? But we also have "Preferred Skills, Capabilities, And Experiences". So we can put minimum requirements under "Requirements", and preferred under "Skills". Or we could put both under "Qualifications". But better to follow typical: Requirements = minimum; Skills = preferred. We'll do that. - Preferred Skills, Capabilities, And Experiences: "PharmD preferred.Residency and experience with Pharmacy and Therapeutics (P&T) preferred.Experienced in cross-mapping clinical codes, optimizing drug-utilization screening rules, and validating clinical data accuracy using the Medi-Span database is highly preferred." We can list as
    • . - Salary info: "For candidates working in person or virtually in the below locations, the salary* range for this specific position is $119,360 to $214,848 Location: California, Virginia, New Jersey, Columbus Ohio, Illinois & Nevada." Also later: "In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements)." Also later: "The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company." etc. That's a lot of boilerplate about salary determination. We need to include Pay section only if posting actually states them. It does state salary range and location. So we should include a Pay section with that info. However we must avoid boilerplate like "The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company." etc. That is generic boilerplate; we should remove it per instruction: remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. The salary determination text might be considered boilerplate; but it's part of the posting. The instruction says "Remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions." It doesn't explicitly say to remove salary determination boilerplate, but it's likely considered boilerplate. However we need to preserve ALL substantive information; do NOT invent or summarize away detail. The salary determination text is not substantive detail about the role; it's generic legal language. Might be considered boilerplate. Safer to keep only the concrete salary range and location, and benefits statement. The benefits statement: "In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements)." That's substantive about benefits. So we can have Benefits section with that. - Also there is a "Who We Are", "How We Work", etc. Those are company description; could be considered boilerplate? The instruction says remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. Company description might be considered not boilerplate but could be considered generic. However it's substantive about the company; but the instruction says "Prefer a few substantive sections over many thin ones." Might be better to omit company description as it's not directly about the role. The instruction says "Preserve ALL substantive information; do NOT invent or summarize away detail." The company description is substantive but maybe considered boilerplate? Not sure. Usually in these tasks, they want to keep role-specific info, not generic company fluff. The earlier examples often strip out "Who We Are" etc. I'd lean to omit those sections to keep focused. - Also there is vaccination requirement, EEO statement, accommodation request, etc. Those are legal/EEO boilerplate; must remove. - Also "Hybrid Workforce Strategy" etc. Might be considered schedule-related but we already have schedule. Thus final sections: About the role (overview), Responsibilities (the How You Will Make An Impact list), Requirements (minimum), Skills (preferred), Pay (salary range and location), Benefits (benefits package), Schedule (hybrid description). Possibly also Qualifications? But we used Requirements and Skills; we could combine Requirements and Qualifications but we have both headings available. To avoid thin sections, we could merge Requirements and Qualifications into one "Requirements" that includes both minimum and preferred? But then we lose distinction. The instruction says prefer a few substantive sections over many thin ones. Having many sections may be thin. Let's count: About the role, Responsibilities, Requirements, Skills, Pay, Benefits, Schedule = 7 sections. Might be okay if each has substantive content. Could we combine Requirements and Skills into "Qualifications"? That would be 6 sections. But we need to follow headings list; we can choose any of those headings. Using "Qualifications" for both minimum and preferred might be okay. But we have separate "Preferred Skills, Capabilities, And Experiences" heading in the posting; we could treat that as "Skills". So we keep Skills. Thus 7 sections. Now we need to output only HTML fragment, no /, no markdown fences. We'll produce something like:

      About the role

      The Pharmacist Clinical is responsible for managing the selection and utilization of pharmaceuticals and supports core clinical utilization management programs such as prior authorization, step therapy, quantity limitations and then works with the operational areas to ensure the clinical criteria is implemented correctly.

      Responsibilities

      • Researches and synthesizes detailed clinical data related to pharmaceuticals.
      • Prepares and presents therapeutic class reviews and drug monograph information to the Pharmacy and Therapeutics Committee.
      • Serves 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.
      • Lead development and maintenance of clinical criteria for drugs that process on the pharmacy and medical benefits (clinical utilization management edits).
      • Researches and synthesizes high quality clinical evidence related to the efficacy and safety of drugs and biologics.
      • Reviews clinical evidence and guideline recommendations to create and maintain clinical criteria (clinical utilization management edits) that ensure members receive appropriate, cost effective drug therapy. These point of sale edits include but are not limited to prior authorization, step therapy, and quantity limitation.
      • Prepares and presents drug clinical criteria through quarterly Pharmacy and Therapeutics (P&T) Process.
      • Works with the clinical operations teams to ensure appropriate claims system set-up and clinical review algorithms are in place for P&T approved point of sale edits.
      • Presents and collaboration with internal stakeholders (medical directors, pharmacists, nurses, business area leads, etc.).
      • Provides drug information support to internal stakeholders as needed.
      • Serves as a clinical pharmacy resource to pharmacy account management and trend management teams.
      • Ensures compliance of pharmacy utilization management edits in accordance with state and federal mandates and contractual agreements.
      • Drug pipeline monitoring and evaluation support.

      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. Requires a registered pharmacist. Must possess an active unrestricted state license to practice pharmacy as a Registered Pharmacist (RPh).

      Skills

      • PharmD preferred.
      • Residency and experience with Pharmacy and Therapeutics (P&T) preferred.
      • Experienced in cross-mapping clinical codes, optimizing drug-utilization screening rules, and validating clinical data accuracy using the Medi-Span database is highly preferred.

      Pay

      For candidates working in person or virtually in

Similar jobs

Pharmacist Clinical

CommonSpirit HealthColorado Springs, CO· 2 wk ago
Healthcare$60.24–$99.39/hr

Pharmacist Clinical

Northeast Regional Medical CenterKirksville, MO· 1 mo ago
Healthcareapply on fa-evxo-saasfaprod1.fa.ocs.oraclecloud.com

Pharmacist Clinical

SSM HealthJefferson City, MO· 1 mo ago
Healthcareapply on jobs.ssmhealth.com

Pharmacist Clinical

CommonSpirit HealthLakewood, CO· 5 mo ago
Healthcare$58.83–$94.2/hrapply on commonspirit.careers