Manager Pharmacy Clinical Operations- Mail Order Pharmacy
Elevance Health

Manager Pharmacy Clinical Operations (Mgr Pharmacy Clinical Ops)- Mail Order Pharmacy

Location: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of our Grand Prairie, TX PulsePoint location.

CarelonRx Pharmacy is now part of CarelonRx (formerly IngenioRx), a proud member of the Elevance Health family of companies. The CarelonRx Home Delivery Pharmacy will deliver a digital first pharmacy experience that is convenient, simpler to use, and more affordable for our patients and payors. Our Pharmacy Model focuses on whole person care, providing the best member experience to drive adherence, affordability, and improved overall health outcomes by putting the patient first.

The Manager Pharmacy Clinical Operations is responsible for developing and implementing clinical pharmacy programs to promote quality and cost-effective drug utilization.

How you will make an impact:

• Assists in the development of new clinical products.
• Oversees the Front End operations team in mail order pharmacy.
• Responsible for oversight of Pharmacists and technicians working in the pharmacy.
• Supports day to day queue operations, oversight of workflow, monitoring aging and quality improvement.
• Manages clinical pharmacy operations and staff to ensure pharmacy's objectives and deliverables are met.
• Oversees departmental processes, policies and procedures, training, and communication.
• Reports and analyzes program trends. Ensures achievement of department goals and objectives.
• Hires, trains, coaches, counsels, and evaluates performance of direct reports.

Minimum Requirements:

• Requires BA/BS in Pharmacy or a PharmD and minimum of 5 years of experience in managed care, authorization, or related pharmacy experience; or any combination of education and experience, which would provide an equivalent background.
• Must possess an active, current and valid unrestricted state license (Rph) to practice pharmacy within the scope of practice in a state or territory of the United States.
• 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 United States.

Preferred Skills, Capabilities, and Experiences:

• Experience in mail order operations, managing in a fast paced environment and cross functional partnership with enterprise business partners strongly preferred.

For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.

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