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Clinical Pharmacist – Analytics
Elevance HealthAnalytics role for clinical pharmacists at Elevance Health managing pharmaceuticals and supporting clinical programs. Responsible for research and preparation of clinical data presentations.
ATS Keywords
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Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
managed care pharmacyclinical data synthesisdosage conversiontherapeutic interventionsMedicare dataSTARS dataclinical resource supportdrug monograph preparationcoverage approval criteria
Soft Skills
oral communicationwritten communicationinterpersonal communicationproblem-solvingfacilitationanalytical skills
Tools & Technologies
TableauPower BISQLPythonR
Certifications & Qualifications
BA/BS in Pharmacyregistered pharmacistPharmacist licensePR health certificatePR Law 300 certificatePharmD
Industry Keywords
Pharmacy and Therapeutics CommitteeDURDISformulary management
Tech Stack
Tools & technologiesPythonSQLTableau
About the role
Key responsibilities & impact- Responsible for managing the selection and utilization of pharmaceuticals
- Supports core clinical programs such as DUR, DIS, and formulary management
- 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
- Provides dosage conversion and clinical support for therapeutic interventions
- Prepares information for network physicians
Requirements
What you’ll need- Requires BA/BS in Pharmacy
- Minimum of 2 years of managed care pharmacy (PBM) experience or residency in lieu of work experience
- Requires a registered pharmacist
- Current unrestricted Pharmacist license from the state in which you reside is required
- 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
- Experience working with Tableau or Power BI is absolutely essential for this role
- Experience working with tools like SQL, Python and R is very strongly preferred
- PharmD preferred
- Experience working with Medicare and STARS data strongly preferred
- Expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills
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