Clinical Pharmacist, Clinical Pharmacy Strategy Team - CarelonRx

Elevance Health • Tampa, FL

4d • Hybrid

About The Position

Clinical Pharmacist, Clinical Pharmacy Strategy Team - CarelonRx Locations: GA-ATLANTA, 740 W PEACHTREE ST NW IN-INDIANAPOLIS, 220 VIRGINIA AVE KY-LOUISVILLE, 3195 TERRA CROSSINGS BLVD STE 203-204 & 300 FL-TAMPA, 5411 SKY CENTER DR OH-MASON, 4361 IRWIN SIMPSON RD Hybrid: 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. Schedule: Monday-Friday, standard hours A proud member of the Elevance Health family of companies, CarelonRx (formerly IngenioRx) leverages the power of new technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care. The Clinical Pharmacist, Clinical Pharmacy Strategy Team - CarelonRx is responsible for developing and implementing pharmacy programs. How you will make an impact: 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.
• Requires a registered pharmacist.
• Must possess an active unrestricted state license to practice pharmacy as a Registered Pharmacist (RPh).
• Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US, unless they are command-sanctioned activities.
• For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
• 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.

Nice To Haves

• 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.
• Ability to translate complex clinical and regulatory concepts into business strategies.
• PharmD.

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.

Benefits

• We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level