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.
CarelonRx is a proud member of the Elevance Health family of companies. CarelonRx pairs a strong, clinical-first lens with deep pharmacy expertise to create solutions that improve outcomes, control costs, and enhance each member's health.
The
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.
