Clinical Pharmacist

Anticipated End Date:

2025-07-28

Position Title:

Clinical Pharmacist

Job Description:

Be Part of an Extraordinary Team

CarelonRx 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): Miami, FL

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.

The Population Health Management Pharmacist (Pharmacist Clinical) is responsible for managing the selection and utilization of pharmaceuticals and supports core clinical programs for contracted provider groups formulary management, achieving quality and cost goals.

 

How you will make an impact:

• Researches and synthesizes detailed clinical data related to pharmaceuticals to assist contracted providers in achieving cost and quality goals.

• Serves as a clinical resource to other pharmacists and contracted providers in areas such as prospective, inpatient, and retrospective DURs and clinical support for therapeutic interventions.

• Prepares information for network physicians using data within provider tools including Excel.

• Evaluate pharmacy quality program data and work with stakeholders to identify, prioritize, and implement strategies to optimize medication use and manage pharmacy spending effectively.

• During practice-level discussions, act as a subject matter expert in pharmacy-related clinical measures for value-based care agreements.

• Work to improve pharmacy quality by staying up to date on STAR and HEDIS measures.

• Provider education to support clinical pharmacy measures and reduce pharmacy costs.

• Build impactful relationships with providers to close the feedback loop between pharmacy and provider.

• Travel locally to meet in the field with providers.

 

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 Qualifications, Skills, and Experiences: 

• PharmD preferred.

• Experience in medication use quality improvement programs, analyzing pharmacy spend and trends, and Medicare Star Part D measures strongly desired.

• Experience working with Medicare and Medicaid providers strongly preferred.

• PBM or Managed Care experience highly desired.

• Proficiency with Microsoft Excel preferred.

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 profes