Anticipated End Date:2026-12-01
Position Title:Manager Pharmacy Clinical Operations
Job Description:Manager Pharmacy Clinical OperationsHybrid: This role requires associates to be in-office 3 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.
Shift: This position includes on-call duties every two months, from 5:30-8:30 p.m. EST.
Manager Pharmacy Clinical Operations is responsible for developing and implementing clinical pharmacy programs to promote quality and cost-effective drug utilization.
How you will make an impact:- Assists in the development of new clinical products.
- Oversees the Clinical Pharmacy programs.
- Implements new clinical pharmacy program.
- Manages clinical pharmacy operations and staff to ensure clients' objectives and deliverables are met.
- Oversees departmental processes, policies and procedures, training, and communication.
- Reports and analyzes prior authorization program trends.
- Ensures achievement of department goals and objectives.
- Hires, trains, coaches, counsels, and evaluates performance of direct reports.
Minimum Requirements:- Requires BA/BS in Pharmacy or a PharmD and minimum of 5 years of experience in managed care, authorization, or related pharmacy experience; or any combination of education and experience, which would provide an equivalent background.
- Current unrestricted Pharmacist license in applicable state(s) required.
- 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 United States.
Preferred Skills, Capabilities and Experiences:- Prior experience with team management.
- Polypharmacy experience.
- Strong Medicaid experience.
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.
Job Level:Manager
Workshift: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.
