Population Health Management Pharmacist

About the role

The Population Health Management Pharmacist (Clinical Pharmacist) oversees clinical program quality and appropriate medication use for in-scope provider groups to support quality and cost goals.

Responsibilities

• Researches and synthesizes detailed clinical data related to pharmaceuticals to assist contracted providers in achieving cost and quality goals.
• Serves as a clinical resource to other pharmacists and contracted providers in areas such as prospective, inpatient, and retrospective DURs and clinical support for therapeutic interventions.
• Prepares information for network physicians using data within provider tools including Excel.
• Evaluates pharmacy quality program data and works with stakeholders to identify, prioritize, and implement strategies to optimize medication use and manage pharmacy spending effectively.
• During practice-level discussions, acts as a subject matter expert in pharmacy-related clinical measures for value-based care agreements.
• Builds impactful relationships with providers to close the feedback loop between pharmacy and provider.
• Works as a pharmacy SME to internal and leadership teams.

  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).
  • For associates working within Puerto Rico who are member or patient facing either in a clinical setting or in the Best Transportation unit, a current PR health certificate and a current PR Law 300 certificate are required for this position.

  Preferred Qualifications, Skills, And Experiences

  • PharmD preferred.
  • Experience in medication use quality improvement programs, analyzing pharmacy spend and trends, and Medicare Star Part D measures strongly preferred.
  • Experience working with Medicare and Commercial providers strongly preferred.
  • PBM or Managed Care experience highly preferred.
  • Proficiency with Microsoft Excel preferred.

  Benefits

  For associates working in person or virtually in the below locations, the salary* range for this specific position is $114,800- to $189,420. Locations: Colorado, Nevada. 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).

  Pay

  The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company. The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education, and/or skill level.

  Schedule

  Associates in this role are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.