Atlanta, Georgia, United States · Hybrid
Anticipated End Date: 2026-06-25 Position Title: Pharmacist Consultant Job Description: Pharmacist Consultant Location: This role enables associates to work virtually full-time, except for required in-person training ses…
Skills: Drug Therapy Evaluation, Clinical Consultation, Patient Counseling, Disease Management, Medication History Review
Ashburn, Virginia, United States · Hybrid
$93k–$139k/yr
Anticipated End Date: 2026-07-02 Position Title: Program Manager Job Description: Program Manager Engages in state and internal business meetings to keep all parties informed and aligned and meets with providers face-to-…
Skills: Program Management, Project Management, Clinical Auditing, Budget Development, Stakeholder Management
Tampa, Florida, United States · Hybrid
Anticipated End Date: 2026-06-30 Position Title: Associate General Counsel - Mergers & Acquisitions Job Description: Associate General Counsel - Mergers & Acquisitions Location: This role requires associates to be in-off…
Skills: Mergers & Acquisitions, Private Equity, Deal Structuring, Due Diligence, Contract Negotiation
Atlanta, Georgia, United States · Hybrid
Anticipated End Date: 2026-07-02 Position Title: Medical Coding Appeals Analyst Job Description: Sign On Bonus: $1,000 Location: This role enables associates to work virtually full-time, with the exception of required in…
Skills: Medical Coding, Claims Adjudication, Clinical Research, Data Analysis, CPT Coding
Lake Mary, Florida, United States · Hybrid
$23/hr–$39/hr
Anticipated End Date: 2026-06-25 Position Title: Credentialing Analyst, Infusion Clinics/Nursing Job Description: Credentialing Analyst, Infusion Clinics/Nursing Hybrid: This role requires associates to be in-office 1-2 …
Skills: Credentialing, Pharmacy License Tracking, Regulatory Compliance, Medicaid Applications, Medicare PECOS Processing
Denver, Colorado, United States · Hybrid
$173k–$260k/yr
Anticipated End Date: 2026-07-01 Position Title: Director II Commercial Sales/Acct Mgmt. Job Description: Director II Commercial Sales/Acct Mgmt. Location: Denver, Colorado This role requires associates to be in-office 3…
Skills: Sales Leadership, Account Management, Strategic Planning, Financial Forecasting, Performance Management
Brentwood, Tennessee, United States · Hybrid
Anticipated End Date: Position Title: LTSS Service Coordinator-RN Clinician Job Description: LTSS Service Coordinator- RN Clinician This position is open to candidates located throughout Tennessee, including Bedford, Lin…
Skills: Case Management, Clinical Assessment, Care Planning, Chronic Illness Management, Patient Coordination
Alexandria, Virginia, United States · Hybrid
Anticipated End Date: Position Title: LTSS Service Coordinator – Clinician (LSW, LCSW, LPN) Job Description: LTSS Service Coordinator – Clinician This position is open to candidates located throughout Virginia, including…
Skills: Case Management, Clinical Assessment, Care Coordination, Patient Advocacy, Chronic Illness Management
Alexandria, Virginia, United States · Remote OK
$67k–$116k/yr
Anticipated End Date: 2026-07-02 Position Title: Nurse Case Manager I Job Description: Nurse Case Manager I Location: Any Elevance Health PulsePoint office in Viriginia. Ashburn, VA is preferred. Virtual: This role enabl…
Skills: Care Management, Clinical Assessment, Care Planning, Discharge Planning, Utilization Management
Athens, Tennessee, United States · Hybrid
Anticipated End Date: Position Title: LTSS Service Coordinator – Clinician (LSW, LCSW, LPN) Job Description: LTSS Service Coordinator – Clinician This position is open to candidates located throughout Tennessee, includin…
Skills: Case Management, Clinical Assessment, Care Coordination, Patient Advocacy, Chronic Illness Management
Miami, Florida, United States · Hybrid
$76k–$119k/yr
Anticipated End Date: 2026-07-02 Position Title: Telephonic Nurse Case Manager II Job Description: Telephonic Nurse Case Manager II Location: This role enables associates to work virtually full-time, with the exception o…
Skills: Care Management, Clinical Assessment, Care Planning, Multi-State Licensure, Case Management
Indianapolis, Indiana, United States · Hybrid
$64k–$96k/yr
Anticipated End Date: 2026-06-25 Position Title: Behavioral Health Care Manager I - Ameriben Job Description: Behavioral Health Care Manager I - Ameriben Location: This role enables associates to work virtually full-time…
Skills: Case Management, Utilization Management, Psychiatric Assessment, Substance Abuse Treatment, Clinical Judgment
Brentwood, Tennessee, United States · Hybrid
Anticipated End Date: Position Title: LTSS Service Coordinator Job Description: LTSS Service Coordinator This position will serve Knox or Davidson and its surrounding counties in TN. Field: This field-based role enables …
Skills: Service Coordination, Person Centered Planning, Case Management, Motivational Interviewing, Program Assessments
Milwaukee, Wisconsin, United States · Hybrid
Anticipated End Date: 2026-07-17 Position Title: Family Care-Service Coordinator Job Description: LTSS Service Coordinator (Case Manager) Hiring near: Milwaukee County Field: This field-based role enables associates to p…
Skills: Case Management, Person Centered Planning, Motivational Interviewing, Care Coordination, Assessment Tools
Chicago, Illinois, United States · Hybrid
$157k–$235k/yr
Anticipated End Date: 2026-06-30 Position Title: Pharmacy Account Director - Commercial Employer Group Job Description: Pharmacy Account Director - Commercial Employer Group Field: This field-based role enables associate…
Skills: Pharmacy Benefit Management, Clinical Consulting, Utilization Management, Data Analysis, Client Relationship Management
Metairie, Louisiana, United States · Hybrid
Anticipated End Date: 2026-06-29 Position Title: Compliance Manager - Louisiana Plan Compliance Officer Job Description: Compliance Manager- Plan Compliance Officer Location: This role requires associates to be in-office…
Skills: Regulatory Compliance, Issue Remediation, Root Cause Analysis, Managed Care Operations, Contract Management
Walnut Creek, California, United States · Hybrid
$25/hr–$38/hr
Anticipated End Date: 2026-06-30 Position Title: Outreach Specialist Job Description: Outreach Specialist Location: Field: This field-based role enables associates to primarily operate in the field, traveling to client s…
Skills: Customer Service, Community Outreach, Case Management, Problem Solving, Critical Thinking
Nashville, Tennessee, United States · Hybrid
Anticipated End Date: 2026-07-01 Position Title: Training Specialist - LTSS Job Description: Training Specialist - LTSS Tennessee's LTSS program experience is essential. Location: Nashville, Tennessee Hybrid 1: This role…
Skills: Facilitation, Adult Learning Theory, Course Development, Classroom Management, Care Coordination
Milwaukee, Wisconsin, United States · Hybrid
Anticipated End Date: 2026-07-17 Position Title: Family Care-Registered Nurse Job Description: LTSS Service Coordinator - RN Clinician (RN Case Manager) Hiring near: Milwaukee County Field: This field-based role enables …
Skills: Case Management, Functional Assessments, Care Planning, Chronic Illness Management, Person-Centered Thinking
Indianapolis, Indiana, United States · Hybrid
Anticipated End Date: 2026-07-08 Position Title: Business Continuity Senior Advisor (Information Security Senior Advisor) Job Description: Business Continuity Senior Advisor (Information Security Senior Advisor) Location…
Skills: Business Continuity Planning, Information Security, Risk Assessment, Incident Response, Generative AI
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The Pharmacist Consultant supports disease management programs by evaluating member medication histories and drug therapies. They collaborate with physicians to ensure therapies meet national standards and help members overcome barriers to medication compliance.
Requires a BA/BS in Pharmacy with at least 2 years of clinical experience and a current unrestricted Pharmacist license. A PharmD and experience in patient counseling or call centers are preferred.
Location: This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
CarelonRx is a proud member of the Elevance Health family of companies. CarelonRx pairs a strong, clinical-first lens with deep pharmacy expertise to create solutions that improve outcomes, control costs, and enhance each member’s health.
Schedule: This role will be working 12:00 pm-8:30 pm EST Monday thru Friday.
The Pharmacist Consultant will be responsible for supporting disease management programs and physicians care plans through drug therapy evaluation and consultation for program participants.
Provides evaluation of member Rx needs and therapies through review of medication history to determine if medications are appropriate.
Assesses member compliance with plan through direct contact with members and their physicians.
Determines potential barriers to compliance and identifies solutions to overcome barriers.
Ensures that members understand appropriate use of current prescriptions.
Reviews medications with physicians when therapies do not meet national standards and counsels physicians around alternative medications.
Serves as a resource to the clinical team in disease management and other clinical areas.
Minimum Requirements:
Requires BA/BS in Pharmacy and a minimum of 2 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.
Current unrestricted Pharmacist license in applicable state(s) required.
PharmD preferred.
Experience with direct patient counseling or education preferred.
Call Center experience preferred.
May require response during non-standard hours.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
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.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
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 should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.
NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Example: If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM. In other words — the job is posted until 3/13, not through 3/13.
Fueled by our bold purpose to improve the health of humanity, we are transforming from a traditional health benefits organization into a lifetime trusted health partner. Our nearly 100,000 associates serve more than 118 million people, at every stage of health. We address a full range of needs with an integrated whole health approach, powered by industry-leading capabilities and a digital platform for health. We believe that improving health for everyone is possible. It begins by redefining health, reimagining the health system, and strengthening our communities.
Offices: 220 Virginia Ave, Indianapolis, Indiana 46204, US
Fueled by our bold purpose to improve the health of humanity, we are transforming from a traditional health benefits organization into a lifetime trusted health partner. Our nearly 100,000 associates serve more than 118 million people, at every stage of health. We address a full range of needs with an integrated whole health approach, powered by industry-leading capabilities and a digital platform for health. We believe that improving health for everyone is possible. It begins by redefining health, reimagining the health system, and strengthening our communities.
Offices: 220 Virginia Ave, Indianapolis, Indiana 46204, US
