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Pharmacist Lead

Location:

  • VA, Virginia Beach
  • GA, Atlanta
  • NJ, Morristown
  • CT, Wallingford
  • MO, St. Louis
  • MN, Minnetonka
  • OH, Mason
  • NV, Las Vegas
  • KY, Louisville
  • IL, Chicago

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Description

Pharmacist Lead: Responsible for supporting contractually required reporting, auditing, and monitoring of pharmacy rebate programs and support for non-clinical associates to maximize production.

Primary duties may include, but are not limited to:

  • Monitors drug rebate reporting to comply with the requirements under Section 1927 of the Social Security Act as it pertains to drug rebates.
  • Supports execution and management of medical injectables (J-Codes) including end to end processes, appropriate and accurate billing, Prior Authorization (Pre-certification) status, and dispute resolution.
  • Acts as a liaison and interacts with other functional areas to lead development of technical process updates.  
  • Chairs project teams.  
  • Leads the creation and filling of staffing models, based on business needs.  

Minimum Qualifications

  • Requires a registered pharmacist and minimum of 3 years of experience in working with mail service operations; or any combination of education and experience, which would provide an equivalent background.
  • Current valid state license to practice pharmacy as an RPh required.
  • For URAC accredited areas the following applies: Requires current active unrestricted license to practice pharmacy as Registered Pharmacist (RPh). Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US. 3 to 5 years experience in working with mail service operations or related pharmacy experience; or any combination of education and experience, which would provide an equivalent background.

Please be advised that Elevance Health only accepts resumes from agencies that have a signed agreement with Elevance Health. Accordingly, Elevance Health is not obligated to pay referral fees to any agency that is not a party to an agreement with Elevance Health. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Be part of an Extraordinary Team

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. Previously known as Anthem, Inc., we have evolved into a company focused on whole health and updated our name to better reflect the direction the company is heading.

We are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?

We 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.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide – and Elevance Health approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Elevance Health is able to reasonably accommodate. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health has been named as a Fortune Great Place To Work in 2021, is ranked as one of the 2021 World’s Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion. To learn more about our company and apply, please visit us at careers.ElevanceHealthinc.com. Elevance 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 may contact ability@icareerhelp.com for assistance.

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