Be Part of an Extraordinary TeamCarelonRx is a proud member of the Elevance Health family of companies providing unparalleled level of service in pharmacy benefits. By leveraging the power of new technologies, our strong, clinical-first lens and deep pharmacy expertise, we are actively defining our innovative role in the industry.Build the Possibilities. Make an Extraordinary Impact.Title: Pharmacist Clinical Location(s): Ohio, Georgia, Indiana, Florida, North Carolina, KansasThis 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.The Pharmacist Clinical is responsible for managing the selection and utilization of pharmaceuticals and supports core clinical programs such as DUR, DIS and formulary management.How you will make an impact: 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.Minimum 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).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, Skills, and Experiences: An active unrestricted state license to practice pharmacy as a Registered Pharmacist (RPh) in the states of Indiana, North Carolina, and/or Kansas.PharmD preferred.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.Job Level:Non-Management ExemptWorkshift:Job Family:MED > Licensed/Registered Pharmacist/Pharmacy TechnicianPlease 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.
By applying, you consent to your information being transmitted by Jooble to the Employer, as data controller, through the Employer’s data processor SonicJobs.
See Sonicjobs Privacy Policy at and Terms & Conditions at and SonicJobs Privacy Policy at and Terms of Use at
...Marketing Assistant Role Overview: We are looking for a proactive, detail-oriented Marketing Assistant to support the Marketing Manager in bringing strategic plans to life. As the Marketing Assistant, you will provide crucial support to our marketing department,...
...York, Paris, Hilversum, Shanghai, Egypt, Bangkok, Vietnam, Sri Lanka, London and Montreal.Overview:The E-commerce Flats Photographer Assistant will assist the off-model photography team by preparing assigned samples, following established styling guides, and...
...under the direction of a credentialed academic teacher, the teaching assistant shall give support to teacher(s) by providing educational services... ...relative ability, as demonstrated by quality and breadth of experience, the following factors will provide the basis for...
...Working Title: PFAS Product Testing Specialist - Research Analysis Spec Job Class: Research Analysis Specialist Agency: Pollution... ...each year ~ Low-cost medical, dental, vision, and prescription drug plans ~ Fertility care, including IVF ~ Diabetes care ~ Dental...
...We are currently hiring a Retail Coordinator. This role will act as a liaison between Guess, Inc. and the account by communicating opportunities... ...orders while upholding the Guess image as a leader in the fashion industry. ESSENTIAL FUNCTIONS: Meet with Area Manager on...