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Managed Care Pharmacy Resident
Elevance Health. Complete work related to the Pharmacy and Therapeutics Committee, including therapeutic class reviews, policy review, drug monographs, and formulary recommendations .
About the role
Key responsibilities & impact- Complete work related to the Pharmacy and Therapeutics Committee, including therapeutic class reviews, policy review, drug monographs, and formulary recommendations
- Develop strategies to drive formulary utilization and optimization
- Complete a year-long project targeted at improving member care through proper medication management
- Perform weekly clinical prior authorizations and coverage determinations for Medicaid and Medicare
- Participate in pharmaceutical care management by reviewing member profiles and recommending members for lock-in, case management, or disease management
- Respond to and resolve member/provider complaints, claims processing issues, and appeals
Requirements
What you’ll need- PharmD from an accredited school of pharmacy by start date
- Registered Pharmacist; must possess an active, unrestricted state license to practice pharmacy as an RPh or be able to obtain one within 90 days of start date
- Authorized to work in the U.S. without future visa sponsorship requirements
- Completed application including letter of intent and curriculum vitae (CV)
- Three letters of recommendation
- Official pharmacy school transcripts emailed directly to PharmacyResidency@ElevanceHealth.com
- Managed care experience, or any combination of education and experience providing an equivalent background
- Familiarity with Microsoft Office Products (Word, Excel, PowerPoint, etc.)
- Excellent written and oral communication skills
- Excellent problem-solving, analytical, and organizational skills
- Excellent public speaking and presentation skills
- Strong interest in managed care pharmacy
Benefits
Comp & perks- Merit increases
- Paid holidays
- Paid Time Off
- Incentive bonus programs
- Medical insurance
- Dental insurance
- Vision insurance
- Short-term disability benefits
- Long-term disability benefits
- 401(k) match
- Stock purchase plan
- Life insurance
- Wellness programs
- Financial education resources
- Hybrid work flexibility
- Professional and personal growth opportunities