Pharmacist Clinical (Mason) (Telecommuting option) (68476)
WellPoint 1,540 reviews - Mason, OH

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WellPoint is one of the nations leading health benefits insurers and a Fortune Top 50 company. At WellPoint, we are dedicated to improving the lives of the people we serve and the health of our communities. WellPoint strives to simplify the connection between health, care, and value for our customers.

Bring your expertise to our innovative, achievement-driven culture, and you will discover lasting rewards and the opportunity to take your career further than you can imagine.

Pharmacist Clinical (Mason, OH preferred)

Responsible for managing the selection and utilization of pharmaceuticals and supports core clinical programs such as drug utilization review (DUR) and formulary management. Primary duties may include, but are not limited to:

Researches and synthesizes detailed clinical information and literature related to pharmaceuticals.

Reviews clinical evidence and guideline recommendations to create and maintain DUR edits that ensure WLP members receive appropriate, cost effective drug therapy.

Coordinate edit development and reviews with medical directors.

Prepares and presents DUR edits through the Pharmacy and Therapeutics Process.

Serves as a clinical pharmacy resource to pharmacy account management and trend management teams.

Works directly with the pharmacy benefit manager (PBM) to ensure appropriate edit system set-up.

WellPoint is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2013 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company please visit us at EOE

Job Qualifications

Requires a registered pharmacist; 2 years of managed care pharmacy/PBM experience or residency in lieu of work experience; or any combination of education and experience, which would provide an equivalent background. Current valid state license to practice pharmacy as an RPh required. PharmD preferred.

Once an offer is accepted, all external applicants are subject to a background investigation
and if appropriate, drug testing. Offers of employment shall be contingent upon
passing both the background investigation and drug testing (if required).

  • Current WellPoint associates: All referrals must be submitted through the formal
associate referral process on WorkNet. Official guidelines for the associate referral
program can be found in My HR.

  • WARNING : Please beware of phishing scams that promote work-at-home opportunities and may also pose as legitimate companies. Please be advised that a WellPoint recruiter will never ask you for a credit card or any type of payment as part of consideration for a role with our company. All of our careers require that you first complete an online application on our web site.
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1,540 reviews
It’s a powerful combination. It’s the foundation upon which we’re creating greater care for our members, greater value for our customers,...