Carilion Clinic logo
Carilion Clinic
Roanoke, Virginia

Pharmacist, Clinical Staff - Midnights

PharmacistIncludes weekendsFull-Time

Listed compensation

$108k-$173k

The week · per this posting · weekdays assumed

Ask the employer about the work setting, call expectations, nights and shift pattern and time off.

Posted 35m ago · Verified live

Job Description

Employment Status: Full time

Shift: Night (United States of America)

Facility

  • 1906 Belleview Ave SE - Roanoke
  • R163352 Pharmacist, Clinical Staff - Midnights (Open)

How You’ll Help Transform Healthcare

$30,000 Sign-On Bonus with Up to $10,000 for Relocation

Carilion Clinic is a six-hospital health system located in beautiful Southwest Virginia.

Carilion's flagship hospital, Carilion Roanoke Memorial Hospital, is a 763-bed academic medical center, level I trauma center, tertiary/quaternary referral center, and Certified Primary Stroke center that has consistently been ranked by US News as a Best Hospital in the state of Virginia.

It is also affiliated with the Virginia Tech Carilion School of Medicine and has numerous post-graduate training programs, including multiple medical and surgical residencies and fellowships.

Clinical Staff I midnight pharmacists are a core group of clinical pharmacists who support overnight pharmacy operations, providing services in our central pharmacy, admixture center, and cardiovascular tower satellite pharmacy, as well as clinical pharmacy services for pharmacokinetic consults, code coverage, and queries from providers and nursing staff.

With the current main pharmacy and the future opening of Crystal Springs Tower satellite pharmacy, a total of five pharmacists will focus on operations, with a sixth clinical pharmacist providing overlapping support until midnight.

An additional ED clinical pharmacist staffs within the Emergency Department and provides backup coverage to the main pharmacy, when necessary. A team of eight technicians will work alongside pharmacists to provide pharmacy services overnight.

Pharmacists are responsible for addressing a variety of pharmacokinetic medication needs and will have autonomy through use of multiple P&T approved pharmacy protocols. Midnight pharmacists will work a 7 on/7 off schedule and must work holidays as they fall on the schedule.

CRMH also has a pharmacy residency program comprised of 13 residents, including seven PGY1s, and six PGY2s in Internal Medicine, Critical Care, Infectious Diseases, Emergency Medicine, and Health System Pharmacy Administration and Leadership.

Clinical Staff I pharmacists can assist with precepting residents on a midnight rotation, as well as have the opportunity to participate in other resident learning experiences. Various other clinical experiences such as committee participation, process improvement, and research are available.

Qualified candidates must be a graduate of a College of Pharmacy accredited by the Accreditation Council for Pharmacy Education (ACPE) and must possess a current Virginia pharmacist license or be eligible for licensure. An ASHP-accredited PGY1 Pharmacy Residency is preferred.

Applicants must possess excellent leadership, communication, interpersonal and teamwork skills, as well as demonstrate advanced skills in critical thinking and analysis. Must be able to effectively budget time, work efficiently and accurately, and follow procedures with minimum supervision.

7-on/7-off midnight rotation working Monday to Sunday rotation (2100 to 0730). Rotation includes every other weekend and holidays that fall within the rotation. Prior acute care experience not mandatory but preferred. Position includes central pharmacy dispensing, sterile compounded products (admixture), clinical consults and therapeutic drug monitoring.

PB11 - Clinical Staff Pharmacist

What We Require

Education

Graduate of a College of Pharmacy accredited by the Accreditation Council for Pharmacy Education (ACPE).

Experience: Pharmacy Practice Residency or equivalent Hospital experience is preferred

Licensure, certification, and/or registration: License to practice Pharmacy in the Commonwealth of Virginia required within 90 days of hire.

During the first 90 days of employment and the licensure application process, pharmacists without a valid license to practice pharmacy in the Commonwealth of Virginia may not perform duties restricted to a licensed pharmacist until the license is obtained.

If the license is not obtained within 90 days of employment, the employee may be subject to separation from Carilion Clinic.

Other Minimum Qualifications: Must possess good leadership, communication, interpersonal and teamwork skills. Must be able to effectively budget time, work efficiently and accurately, and follow procedures with minimum supervision. Excellent critical thinking and analytical skills. Work requires knowledge of general office equipment and procedures including computer and keyboarding skills.

Compensation Range

$107,993.60 - $172,785.60

Employee pay is based on a variety of factors, including qualifications, credentials, education, and prior work experience. The compensation range does not include benefits or pension plan.

Recruiter

Dave Niven

Recruiter Email

dlniven@carilionclinic.org

For more information, contact the HR Service Center at 1-800-599-2537.

Carilion Clinic is an Equal Opportunity Employer: We provide equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, national origin, age (40 or older), disability, genetic information, or veterans status. Carilion is a Drug-Free Workplace.

For more information or for individuals with disabilities needing special assistance with our online application process contact Carilion HR Service Center at 800-599-2537, 8:00 a. m. to 4:30 p. m., Monday through Friday.

  • For more information on E-Verify: carilionclinic.org
  • Benefits, Pay and Well-being at Carilion Clinic

Carilion understands the importance of prioritizing your well-being to help you develop and thrive. That’s why we offer a well-rounded benefits package, and many perks and well-being resources to help you live a happy, healthy life – at work and when you’re away.

When you make your tomorrow with us, we’ll enhance your potential to realize the best in yourself. Below are benefits available to you when you join Carilion:

  • Comprehensive Medical, Dental, & Vision Benefits
  • Employer Funded Pension Plan, vested after five years (Voluntary 403B)
  • Paid Time Off (accrued from day one)
  • Onsite fitness studios and discounts to our Carilion Wellness centers
  • Access to our health and wellness app, Personify Health
  • Discounts on childcare
  • Continued education and training

Key Responsibilities

The pharmacist will support overnight pharmacy operations, including central pharmacy dispensing, sterile compounding, and clinical consults. They will also provide clinical pharmacy services such as pharmacokinetic consults, code coverage, and resident precepting.

Requirements

Candidates must be a graduate of an ACPE-accredited College of Pharmacy and possess or be eligible for a Virginia pharmacist license. An ASHP-accredited PGY1 Pharmacy Residency is preferred, along with strong critical thinking and analytical skills.

Qualifications

Experience
2+ years of experience

Key Skills

PharmacokineticsMedication therapy managementInterpersonal skillsTime management

Pharmacist Career Context

Of the 40 active Pharmacy listings this role was benchmarked against, 15% are remote, 60% have no call, 43% require no weekends.

The cost-of-living index for Virginia is 101.1 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$140k midpoint carries the purchasing power of roughly $139k in an average-cost state. 61.1% of Virginia clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

What does the Pharmacy market look like in Virginia?
MeasureThis jobMarket
Work-life score6.0 / 10 · top 25% in pharmacyranked against 9,956 Pharmacy listingslisting-based score, 0–10
Cost-of-living adjusted pay~$139k in purchasing powerVirginia index 101.1 (US = 100)BEA Regional Price Parities (2024)
Pharmacy listings in Virginia288 active10,124 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 15% remote · 60% no call · 43% no weekends40 benchmarked listings
Sign-on & loan repayment$30k sign-onVirginia Pharmacist listings: 15% state a sign-on bonus · 17% offer loan repayment297 active listings, Nov 2026
New Pharmacy listings3,666 in the last 30 days3,150 the 30 days before (+16%)U.S., first seen on WeekdayDoc, Nov 2026
Pharmacy pay trend+3.3% vs prior quarter—through Oct 2026
Carilion Clinicsilver tier, 74/100Top Employers work-life index100 active listings
Sources: WeekdayDoc live listing index (9,956 Pharmacy listings), Top Employers work-life index, BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page.

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Pharmacist, Clinical Staff - Midnights at Carilion Clinic a 6.0 out of 10 for work-life balance — classified as good. This places the position in the top 25% in Pharmacy — ranked against 9,956 active Pharmacy listings on WeekdayDoc.

Top Pharmacist Jobs

18 matches · ranked by pay

Salary Distribution

18 jobs · 13 employers
7
<$160k
7
$160k-190k
1
$196k
2
$248k
1
$257k

Annual compensation range

Benefits & Perks

16 jobs · 13 employers
401k / retirement match
100% this job
Sign-on bonus
56% this job
Relocation assistance
13% this job
Loan repayment
6%

Share of similar jobs offering each benefit

#1

Senior Clinical Pharmacist - Anticoagulation

Providence · Olympia, Washington

$78.27-$123.57/hr
#2

Clinical Pharmacist - Pharmacy Admin

Providence · Torrance, California

$75.49-$119.17/hr
#3

Clinical Pharmacist - Infusion Pharmacy

$75.49-$119.17/hr
#4

Clinical Pharmacist

$157k-$196k
+ 16 more · ranked by pay

Work-life snapshot

median 2.8this job 6.0
Better work-life than 90% of Pharmacy listings

Listing-based score, 0–10, across 9,956 comparable listings. Shaded area = the share scoring below this one.

  • On-site
  • Includes weekends
Carilion Clinic logo

About Carilion Clinic

Hospitals and Health Care
Roanoke, Virginia
5,001-10,000 employees

Benefits & Perks

$30,000 sign-on bonus
Up to $10,000 relocation assistance
Comprehensive medical, dental, and vision benefits
Employer-funded pension plan (vested after 5 years)
Voluntary 403(b)
Paid time off accrued from day one
Onsite fitness studios and discounts to Carilion Wellness centers
Access to health and wellness app (Personify Health)

Living in Roanoke

Typical 3-bedroom home value
$264k≈ 2.4× annual pay
Typical market rent
$1,368/mo≈ 15% of gross pay
Residents’ average commute
19 min
Metro price indexU.S. average = 100
93.6
State income tax
Up to 5.8%
Sources & methodology

Sources: Zillow home values (Sep 2026), Zillow market rents (Sep 2026), U.S. Census ACS 2024 five-year.

BEA 2024 · Roanoke, VA metro prices. Housing figures are city-level.

Ratios use this listing’s gross annual pay. Not a cost-of-living guarantee.