Anticipated End Date:2026-06-30
Position Title:Clinical Pharmacist - Analytics
Job Description:Pharmacist Clinical
LOCATION: This is a virtual eligible role. You must be within a reasonable distance of a PulsePoint.HOURS: General business hours, Monday through Friday, local time.Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development.
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. Alternate locations may be considered if candidates reside within a commuting distance from an office.
This is NOT a dispensing role; it is an analytics role.Responsible for managing the selection and utilization of pharmaceuticals and supports core clinical programs such as DUR, DIS and formulary management.
Primary duties may include, but are not limited to:
- 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.
- May review and approve or deny coverage for pharmaceuticals (as permitted by state/federal law or state/federal program contracts) based on medical necessity criteria, and coordinates with internal stakeholders or health plan medical directors as needed.
- 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.
- Prepares information for network physicians.
Required Qualifications- 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.
- Current unrestricted Pharmacist license from the state in which you reside is required..
- 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- Experience working with Tableau or Power BI is absolutely essential for this role!
- Experience working with tools like SQL, Python and R is very strongly preferred.
- PharmD preferred.
- Experience working with Medicare and STARS data strongly preferred.
- Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
Job Level:Non-Management Exempt
Workshift:1st Shift (United States of America)
Job Family:MED > Licensed/Registered Pharmacist/Pharmacy Technician
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Example: If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM. In other words - the job is posted until 3/13, not through 3/13.
