Job Description
About the position 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 Pharmacist, Clinical Pharmacy Strategy Team - CarelonRx is responsible for developing and implementing pharmacy programs. 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. • 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 preferred. 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. Apply tot his job