Population Health Management Pharmacist - CarelonRx

Job description

Population Health Management Pharmacist (Clinical Pharmacist)

nPrimary Location(s): Indianapolis, IN

nHybrid: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace.

nPlease note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

nThe Population Health Management Pharmacist (Clinical Pharmacist) oversees clinical program quality and appropriate medication use for in-scope provider groups to support quality and cost goals.

nHow you will make an impact:

nnnResearches and synthesizes detailed clinical data related to pharmaceuticals to assist contracted providers in achieving cost and quality goals.

n

nnServes as a clinical resource to other pharmacists and contracted providers in areas such as prospective, inpatient, and retrospective DURs and clinical support for therapeutic interventions.

n

nnPrepares information for network physicians using data within provider tools including Excel.

n

nnEvaluate pharmacy quality program data and work with stakeholders to identify, prioritize, and implement strategies to optimize medication use and manage pharmacy spending effectively.

n

nnDuring practice-level discussions, act as a subject matter expert in pharmacy-related clinical measures for value-based care agreements.

n

nnWork to improve pharmacy quality by staying up to date on STAR and HEDIS measures.

n

nnProvider education to support clinical pharmacy measures and reduce pharmacy costs.

n

nnBuild impactful relationships with providers to close the feedback loop between pharmacy and provider.

n

nnAct as a pharmacy SME to internal and leadership teams

n

n nMinimum Requirements:

nnnRequires BA/BS in Pharmacy.

n

nnMinimum of 2 years of managed care pharmacy (PBM) experience or residency in lieu of work experience; or any combination of education and experience, which would provide an equivalent background.

n

nnRequires a registered pharmacist.

n

nnMust possess an active unrestricted state license to practice pharmacy as a Registered Pharmacist (RPh).

n

n nPreferred Qualifications, Skills, and Experiences:

nnnPharmD preferred.

n

nnExperience in medication use quality improvement programs, analyzing pharmacy spend and trends, and Medicare Star Part D measures strongly desired.

n

nnExperience working with Medicare and Commercial providers strongly preferred.

n

nnPBM or Managed Care experience highly desired.

n

nnProficiency with Excel preferred.

n

n nPlease be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

nWho We Are

nElevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

nHow We Work

nAt Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

nWe offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

nElevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

nThe health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

nElevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process should submit the Accessibility Accommodation Request Form ( and a member of the team will be in contact.

nQualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

nProspective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration ( .

Who can apply

Review the original listing for work authorization, qualifications and employer requirements.