Senior Clinical Programs Pharmacist
HumanaSalary not specified
Clinical Pharmacist Senior (Children & Families Specialty Program) at Elevance Health
Durham, North Carolina, United States
Not SpecifiedCompensation
Senior (5 to 8 years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare, PharmaceuticalsIndustries
Requirements
- BA/BS in Pharmacy
- Minimum of 4 years of experience as a pharmacist in a clinical setting (or equivalent combination of education and experience)
- Active unrestricted state license to practice pharmacy as a Registered Pharmacist (RPh)
- For associates working within Puerto Rico who are member or patient facing either in a clinical setting or in the Best Transportation unit: current PR health certificate and current PR Law 300 certificate
Responsibilities
- Provides clinical consulting services to clients and implements clinical information and education programs, with a focus on long-acting injectable antipsychotics (LAIAs) and alternative treatments
- Assists in developing and overseeing medication management programs specific to CFSP members, ensuring alignment with formulary guidelines
- Performs drug utilization analyses and identifies medication adherence, polypharmacy, and contraindication issues, working collaboratively with pharmacies, providers, and the Care Management (CM) department
- Acts as primary contact for managing communications with stakeholders associated with the CFSP, ensuring effective responses and solutions to pharmacy benefit program issues
- Serves as a vital resource, collaborating with various departments to enhance the quality and performance of the pharmacy benefit for the CFSP
- Liaises with CarelonRx clinical programs and Clinical Pharmacy Care Center (CPCC) resources for CFSP-specific program development or enhancements
- Engages in multi-disciplinary rounds, child and family team meetings, and provider meetings as requested by health plan clinical leadership to support the complex needs of the population
- Develops reports for the CM department, such as identifying members missing antipsychotic medication refills, and engages in routine data submission to CM and clinical or quality leadership teams
Skills
Clinical Pharmacy
Pharmacy Benefits Management
Clinical Consulting
LAIAs
Long-Acting Injectable Antipsychotics
Stakeholder Communications
Medicaid
Pediatric Pharmacy
Pharmacy Education
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