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Elevance Health

Prior Authorization Clinical Pharmacist

Elevance Health

Clinical Pharmacist evaluating pharmaceutical selection and utilization for Elevance Health. Supporting pharmacy programs and clinical guidance for medication efficacy and safety.

Posted 6/29/2026full-timeIndianapolis • Florida, Kentucky, Tennessee, Texas • 🇺🇸 United StatesJuniorMid-LevelWebsite

Core Competencies

Role fit
Core Competencies

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

Demonstrates expertise in clinical pharmacy practices, including Drug Utilization Review and formulary management, while providing clinical guidance and support to healthcare teams. Holds necessary certifications and licenses to ensure compliance and effective pharmaceutical care.

Highest-signal resume keywords
Managed Care Pharmacy ExperienceRegistered Pharmacist (RPh)Drug Utilization Review (DUR)Pharmaceutical Research and SynthesisFormulary Management

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills
Pharmaceutical EvaluationClinical Data AnalysisTherapeutic Class Review PreparationDosage Conversion GuidanceEvidence-Based Medication Use
Soft Skills
Clinical Resource CoordinationInterpersonal Communication
Tools & Technologies
Drug Information Services (DIS)
Certifications & Qualifications
Active Unrestricted State LicenseCurrent PR Health CertificateCurrent PR Law 300 Certificate
Industry Keywords
Pharmacy and Therapeutics CommitteeMedical Necessity CriteriaProspective DURInpatient DURRetrospective DUR

About the role

Key responsibilities & impact
  • Evaluating and managing the selection and utilization of pharmaceuticals
  • Supports key clinical pharmacy programs, including Drug Utilization Review (DUR), Drug Information Services (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 based on medical necessity criteria
  • 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 clinical guidance for therapeutic interventions, dosage conversions, and evidence-based medication use

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
  • Must possess an active unrestricted state license to practice pharmacy as a Registered Pharmacist (RPh)
  • Current PR health certificate and a current PR Law 300 certificate are required for this position

Benefits

Comp & perks
  • merit increases
  • paid holidays
  • Paid Time Off
  • incentive bonus programs
  • medical, dental, vision
  • short and long term disability benefits
  • 401(k) +match
  • stock purchase plan
  • life insurance
  • wellness programs
  • financial education resources