Manager of Pharmacy Clinical Operations developing clinical programs at Elevance Health. Leading pharmacy operations and ensuring quality drug utilization and compliance for clients.
Responsibilities
Assists in the development of new clinical products
Oversees the Prior Authorization Center
Implements new prior authorization program
Manages clinical pharmacy operations and staff to ensure clients' objectives and deliverables are met
Oversees departmental processes, policies and procedures, training, and communication
Reports and analyzes prior authorization program trends
Ensures achievement of department goals and objectives
Hires, trains, coaches, counsels, and evaluates performance of direct reports
Provides clinical consulting services to client and implements clinical information and education programs
Assists in developing formularies
Performs drug utilization analyses
Participates in and presents to Pharmacy and Therapeutics (P&T) committee meetings and management of client formulary
Requirements
Requires BA/BS in Pharmacy
Minimum of 4 years of experience as a pharmacist in a clinical setting
Requires a registered pharmacist
Must possess an active unrestricted state license to practice pharmacy as a Registered Pharmacist (RPh)
Medicaid and Commercial prior authorization reviewing experience preferred
Experience optimizing PA intake, review, and follow-up workflows to reduce turnaround time and rework preferred
Ability to work effectively on cross-functional teams and values shared accountability/collective success preferred
Demonstrated ability to lead teams effectively, including coaching, performance management, and employee engagement preferred
Experience with medical injectables preferred
Experience with PA Hub preferred
Benefits
merit increases
paid holidays
Paid Time Off
incentive bonus programs (unless covered by a collective bargaining agreement)
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