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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.
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
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
managed care pharmacyclinical data synthesisdosage conversiontherapeutic interventionsMedicare dataSTARS dataclinical resource supportdrug monograph preparationcoverage approval criteria
Soft Skills
oral communicationwritten communicationinterpersonal communicationproblem-solvingfacilitationanalytical skills
Certifications
BA/BS in Pharmacyregistered pharmacistPharmacist licensePR health certificatePR Law 300 certificatePharmD