Clinical Pharmacist, Clinical Pharmacy Strategy Team - CarelonRx

Anticipated End Date:

2026-06-02

Position Title:

Clinical Pharmacist, Clinical Pharmacy Strategy Team - CarelonRx

Job Description:

Clinical Pharmacist, Clinical Pharmacy Strategy Team - CarelonRx

Locations:

  • GA-ATLANTA, 740 W PEACHTREE ST NW

  • IN-INDIANAPOLIS, 220 VIRGINIA AVE

  • KY-LOUISVILLE, 3195 TERRA CROSSINGS BLVD STE 203-204 & 300

  • FL-TAMPA, 5411 SKY CENTER DR

  • OH-MASON, 4361 IRWIN SIMPSON RD

Hybrid: This role requires associates to be in-office 1-2 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.

Schedule: Monday-Friday, standard hours

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 Clinical Pharmacist, Clinical Pharmacy Strategy Team - CarelonRx is responsible for developing and implementing pharmacy programs.

How you will make an impact:

  • 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.

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).

Preferred Skills, Capabilities and Experiences:

  • 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.

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.

Job Level:

Non-Management Exempt

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.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

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.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.

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.


Skills:
Analysis Skills, Clinical Support, Communication Skills, Cost Control, Federal Laws and Regulations, Formulary, Health Plan, Healthcare, Healthcare Administration, Interpersonal Skills, Legal, Managed Care, Patient Care, Pharmacy, Problem Solving Skills, Public/Media/Press/Analyst Relations, State Laws and Regulations, United States Military, Utilization Management, Utilization Review Accreditation Commission (URAC), Writing Skills


undefined:
Elevance Health Inc



Back to blog

Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...

Other Jobs To Apply

Warehouse Picker Packer - Now Hiring

Area Manager II

Warehouse Associate (PT or FT flex schedules)

Business Office Clerk

Work From Home : Recruitment Intern : Female : Freshers : Apply Now

Transportation Specialist, IN Flex CO

Area Manager II

PT Self Checkout Ambassador - 01501

Female UGC Creator / Spokesperson / Presenter / Actress (English Speaker) REMOTE

DATA ENTRY PART TIME JOBS IN Malaysia FOR MALE OR FEMALE OR FRESHERS OR STUDENTS

Content Reviewer - English (US)

Permanent Non-Clinical - Administrative Secretary

Lineman- Distribution (Snyder, Texas)

Warehouse Distribution Associate. Job in Murfreesboro Fifty States-Jobs

Paid Product Tester

Amazon Delivery Driver

Fleet Technician (DOT) - Foods

Paid Product Tester

Distribution Center Associate

Remote Accounting Manager - Payroll, GL & Capital Assets

Sr. Operations Manager

FULL TIME Netflix Remote No Experience $24/hour At Careermilard

virtual chat agent jobs

Mechatronics & Robotics Tech

Maternity Case Manager (Fully Remote)

Amazon Customer Service - Work From Home $16-$24/hr

Senior Product Designer at HCL International: 100% Remote (Palo Alto, CA)

Amazon DSP Delivery Associate

Director Clinical Informatics - Health Informatics

Work From Home Remote Entry Level -Focus Group Position

Remote Data Entry Amazon Specialist - No Experience - Part-Time

Fulfillment Center Warehouse Associate

RME Operator (RMEO), Make On Demand

HR Business Partner

Warehouse Associate (PT or FT flex schedules)

Data Entry Operator - Part Time - Freshers

Data Entry Clerk Work From Home - Part-Time Focus Group Participants (Up To $750/Week)

Seasonal Retail Sales Associate - Turtle Creek Town Center

Data Entry - Typist Part-Time - Work

Aviation Specialist

Delivery Driver/Amazon

Clinical Documentation Quality Reviewer (Remote)

(USA) Realty Project Coach

Call Center Agent (PT or FT - 100% Work From Home)

On-Demand: Guest Advocate (Cashier), General Merchandise, Fulfillment, Food and Beverage, Style (T1919)

Lead - Motor Shop

Early Morning Stock Associate

Remote Certified Medical Coder – Accurate Coding & Compliance

HEB Careers in Manor, TX

Grocery Customer Service & Stock Support Associate