Manager, Pharmacy Clinical Operations

Elevance Health

. Develop and implement clinical pharmacy programs to promote quality and cost-effective drug utilization.

Posted 11/12/2026full-timeUnited StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in developing and implementing clinical pharmacy programs, managing clinical pharmacy operations, and ensuring quality drug utilization. Strong background in team management, problem-solving, and communication skills is essential for achieving departmental goals.

Highest-signal resume keywords

Clinical Pharmacy Program DevelopmentManaged Care ExperiencePharmacist LicenseTeam ManagementMedicaid Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical Pharmacy OperationsPrior Authorization AnalysisPolypharmacy ManagementDrug Utilization ReviewPerformance Evaluation

Soft Skills

Interpersonal CommunicationProblem-SolvingFacilitationAnalytical Thinking

Certifications & Qualifications

Pharmacist License

Industry Keywords

Managed CareClinical Products DevelopmentDepartmental ProcessesCost-Effective Drug Utilization

About the role

Key responsibilities & impact

Develop and implement clinical pharmacy programs to promote quality and cost-effective drug utilization.
Assist in the development of new clinical products.
Oversee Clinical Pharmacy programs.
Implement new clinical pharmacy programs.
Manage clinical pharmacy operations and staff to ensure clients' objectives and deliverables are met.
Oversee departmental processes, policies and procedures, training, and communication.
Report and analyze prior authorization program trends.
Ensure achievement of department goals and objectives.
Hire, train, coach, counsel, and evaluate performance of direct reports.

Requirements

What you’ll need

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.
Must be located in a state or territory of the United States when conducting utilization review or an appeals consideration, unless expressly allowed by state or federal law or regulation.
Cannot be located on a US military base, vessel, or embassy when conducting utilization review or an appeals consideration, unless expressly allowed by state or federal law or regulation.
Prior experience with team management.
Polypharmacy experience.
Strong Medicaid experience.
Strong oral, written, and interpersonal communication skills.
Problem-solving skills.
Facilitation skills.
Analytical skills.
Ability to work in-office 3 days per week.
Ability to perform on-call duties every two months from 5:30–8:30 p.m. EST.

Benefits

Comp & perks

merit increases
paid holidays
Paid Time Off
incentive bonus programs
medical benefits
dental benefits
vision benefits
short and long term disability benefits
401(k) +match
stock purchase plan
life insurance
wellness programs
financial education resources
Hybrid work arrangement with flexibility for virtual work
Professional and personal growth opportunities