Call Center Pharmacist Consultant at Elevance Health

Indianapolis, Indiana, United States

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Not SpecifiedCompensation

Mid-level (3 to 4 years), Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, Pharmacy, InsuranceIndustries

Requirements

BA/BS in Pharmacy and a minimum of 2 years of clinical experience; or any combination of education and experience which would provide an equivalent background
Current valid active and unrestrictive RPh license required

Responsibilities

Provides evaluation of member Rx needs and therapies through review of medication history to determine if medications are appropriate
Assesses member compliance with plan through direct contact with members and their physicians
Determines potential barriers to compliance and identifies solutions to overcome barriers
Ensures that members understand appropriate use of current prescriptions
Reviews medications with physicians when therapies do not meet national standards and counsels physicians around alternative medications
Serves as a resource to the clinical team in disease management and other clinical areas
May require response during non-standard hours

Skills

Key technologies and capabilities for this role

PharmacistDrug Therapy EvaluationMedication ReviewDisease ManagementPatient CompliancePhysician ConsultationRx ConsultationCall CenterMedicareMedicaid

Questions & Answers

Common questions about this position

What is the work arrangement for this role?

This role enables associates to work virtually full-time, with the exception of required in-person training sessions. Candidates must reside within a reasonable commuting distance from the posting location(s), unless an accommodation is granted as required by law.

What are the minimum qualifications for this position?

Requires BA/BS in Pharmacy and a minimum of 2 years of clinical experience, or any combination of education and experience providing an equivalent background, plus a current valid active and unrestrictive RPh license.

What are the preferred skills for this role?

Preferred qualifications include a PharmD, experience with direct patient counseling or education, and call center experience is highly preferred.

What are the work hours for this position?

The work hours are Monday - Friday, 12:00pm - 8:30pm EST, and may require response during non-standard hours.

What experience makes a candidate stand out for this role?

Candidates with call center experience, direct patient counseling or education experience, and a PharmD will stand out, in addition to meeting the minimum requirements of a BA/BS in Pharmacy, 2 years clinical experience, and active RPh license.

Elevance Health

Integrated health services and digital platform

About Elevance Health

Elevance Health focuses on enhancing the health of individuals throughout their lives by evolving from a traditional health benefits organization into a comprehensive health partner. The company serves over 118 million people, providing support at every stage of health through an integrated approach that addresses a wide range of health needs. Their services are backed by advanced capabilities and a digital health platform that streamlines access to care. Unlike many competitors, Elevance Health emphasizes a holistic view of health, aiming to redefine health and improve community well-being. The ultimate goal is to make health improvements accessible to everyone.

Indianapolis, IndianaHeadquarters

1944Year Founded

$309.4MTotal Funding

IPOCompany Stage

Enterprise Software, Social Impact, HealthcareIndustries

10,001+Employees

Benefits

Medical, dental, & vision insurance

401(k) + match

Paid holidays

Paid Time Off

Incentive bonus programs

Stock purchase plan

Life insurance

Wellness Programs

Financial education resources

Adoption & Surrogacy Assistance

Dependent-care Flexible Spending Account (DCFSA)

Parental Leave

Parental Transition Week

Critical Caregiving Leave

Risks

Departure of CFO John Gallina may create a gap in financial leadership.

Lawsuit against CMS over MA Star Ratings could lead to financial penalties.

CareBridge integration may face operational challenges, disrupting service delivery.

Differentiation

Elevance Health integrates whole health approach with digital health platform for comprehensive care.

Acquisition of CareBridge enhances home health services within Carelon division.

Strategic partnership with Clayton, Dubilier & Rice aims to innovate primary care delivery.

Upsides

AI integration in home health services can reduce hospital readmissions and improve outcomes.

Predictive analytics support early disease detection, aligning with Elevance's whole health approach.

Telehealth expansion offers opportunities to reach more patients remotely.

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