Pharmacy Account Director, Medicare

1 week ago

Smithfield, United States Elevance Health Full time

A proud member of the Elevance Health family of companies, CarelonRx (formerly IngenioRx) leverages the power of new technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care. In this pivotal role on our CarelonRx Medicare Sales and Account Management team, the Pharmacy Account Director is tasked with the responsibility of developing, preserving and deepening relationships with clients which include Elevance Health Medicare Health Plans. This position, structured around geographic regions and lines of business, requires substantial knowledge in the Medicare business as well as an understanding of the intricate workings of a pharmacy benefit manager. Ideal incumbents are likely to be proficient clinicians such as pharmacists. This position can work in a hybrid way 1-2 days per week from any US corporate Elevance Health location. How you will make an impact: Handling a variety of Medicare pharmacy accounts. Utilizing strong account management experience to cater to complex needs of distinct clients like Medicare. Skillfully interpreting pharmacy data and narrating a compelling narrative to our clients. Assist in the development of recommendations for outcomes-based savings and revenue opportunities Ensuring our clients feel supported and their needs are comprehended and met effectively. Collaborating closely with the clinical teams for programs and outcomes, home delivery, specialty pharmacy and infusion, operations, networks, products, STARS, CAHPS, and other internal stakeholders to execute strategic sales and tactical plans. Deftly partnering with other leaders across Carelon services relating to pharmacies like behavioral health and palliative care, to foster future client partnerships. Creating and presenting bespoke reporting packages contingent on client preferences. BA/BS along with a minimum of 5 years of related experience, or an equivalent combination gathering education and experience. Preferred skills and experiences: -Pharmacist by profession with an active Pharmacy License -Knowledge of the Inflation Reduction Act (IRA) and the implications it poses on the pharmacy. -Understanding of the M3P program which influences drug affordability for Medicare members. -Understanding of the benefit design and formularies, specifically for Part D. -Experience in a pharmacy benefit management organization leading accounts, preferably Medicare accounts. -Exceptional sales and account management skills with experience navigating the delicate balance of delivering service and sometimes needing to strategically push back, maintaining a robust partner-centric relationship. Success in this role isn't merely about client retention, but about fostering growth and developing a superior understanding of the integrated pharmacy business. All while ensuring that communication remains seamless and transparent, given its paramount importance in the industry. 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. Who We Are 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. How We Work 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. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location. 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. 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 may contact elevancehealthjobssupport@elevancehealth.com for assistance.

  • Pharmacy Account Director, Medicare

    2 weeks ago

    Smithfield, United States Elevance Health Full time

    Elevance Health Pharmacy Account Director, Medicare A proud member of the Elevance Health family of companies, CarelonRx (formerly IngenioRx) leverages the power of new technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care. In this pivotal role on our CarelonRx Medicare Sales and Account Management team, the...

  • Product Director

    1 week ago

    Smithfield, United States Neighborhood Health Plan of RI Full time

    Job Details Job Location Smithfield, RI - Smithfield, RI Position Type Full Time Education Level Bachelors Degree   Travel Percentage Daily Job Shift Daytime Job Category Management Description The Product Director - Medicare will provide leadership, oversight, coordination and monitoring of workstreams and activities associated with new Medicare product...

  • Product Director

    3 weeks ago

    Smithfield, Rhode Island, United States Neighborhood Health Plan of RI Full time

    Job SummaryThe Product Director - Medicare will provide strategic leadership and oversight for the development and implementation of new Medicare products. This role will collaborate with internal partners to launch new Medicare products and initiatives that meet company goals and objectives.Key ResponsibilitiesLead the development and implementation of new...

  • Pharmacy Director

    3 weeks ago

    Smithfield, Ohio, United States Veracity Full time

    Pharmacy Director **Job Summary** Veracity is seeking a highly skilled Pharmacy Director to lead our pharmacy team. As a key member of our leadership team, you will be responsible for the daily operations management of the pharmacy department. **Responsibilities** * Develop and implement goals, objectives, policies, and procedures for departmental...

  • Pharmacy Director

    3 weeks ago

    Smithfield, Rhode Island, United States Veracity Full time

    Pharmacy Director OpportunityVeracity is seeking a highly skilled and experienced Pharmacy Director to lead our pharmacy team. The ideal candidate will have a strong background in hospital pharmacy operations and a proven track record of improving services and ensuring compliance with regulatory requirements.Key Responsibilities:• Develop and implement...

  • Pharmacy Director

    4 months ago

    Smithfield, United States Veracity Full time

    Pharmacy Director - North Smithfield, RI 02896 Must-Haves BS Pharmacy required, PharmD and/or MBA/MS (or equivalent education/experience) preferred Must hold a current state license to practice pharmacy Prior hospital experience Nice-To-Haves Minimum five years' experience in hospital pharmacy is desirable What you will do in this role: Demonstrates...

  • Pharmacy Director

    4 months ago

    Smithfield, United States Veracity Full time

    Pharmacy Director - North Smithfield, RI 02896 Must-Haves BS Pharmacy required, PharmD and/or MBA/MS (or equivalent education/experience) preferred Must hold a current state license to practice pharmacy Prior hospital experience Nice-To-Haves Minimum five years' experience in hospital pharmacy is desirable What you will do in this role: • Demonstrates...

  • Director of Nursing

    1 week ago

    Smithfield, United States Riverside Health System Full time

    At Riverside Health, we live our mission daily, “Caring for others as we would care for those we love”. We are committed to enhancing the quality of life for all seniors and cultivating rewarding careers for our team members.A career at Riverside Lifelong Health & Rehabilitation Smithfield is more than just a job. It's the opportunity to make a...

  • Senior Manager of Quality Improvement and Analysis

    1 week ago

    Smithfield, United States Neighborhood Health Plan of RI Full time

    Job Details Job Location Smithfield, RI - Smithfield, RI Position Type Full Time Education Level Bachelors Degree   Travel Percentage Occasional Job Shift Daytime Job Category Management Description The Senior Manager of Quality Improvement and Analysis is Neighborhood's organizational lead for implementing all facets of the Healthcare Effectiveness Data...

  • Senior Manager of Quality Improvement and Analysis

    5 months ago

    Smithfield, United States Neighborhood Health Plan of RI Full time

    Job Details Job Location Smithfield, RI - Smithfield, RI Position Type Full Time Education Level Bachelors Degree   Travel Percentage Occasional Job Shift Daytime Job Category Management Description The Senior Manager of Quality Improvement and Analysis is Neighborhood's organizational lead for implementing all facets of the Healthcare Effectiveness Data...

  • CarelonRx Account Manager II

    1 week ago

    Smithfield, United States Elevance Health Full time

    CarelonRx Account Manager II Location: This position will work a hybrid model (remote and office). The ideal candidate must live within 50 miles of one of our Elevance Health PulsePoint locations listed on the requisition. The CarelonRx Account Manager II is responsible for retention and operational excellence that meets/exceeds client service and...

  • Senior Financial Operations Director

    2 weeks ago

    North Smithfield, Rhode Island, United States Neighborhood Health Plan of RI Full time

    Job SummaryWe are seeking a highly experienced and skilled Vice President, Medical Operations to join our team at Neighborhood Health Plan of Rhode Island.The successful candidate will be responsible for leading our financial operations, ensuring the accuracy and integrity of all financial analysis and operations, and overseeing all budgeting activities.This...

  • Commodities Director

    3 weeks ago

    Smithfield, Virginia, United States Smithfield Foods Full time

    Job SummarySmithfield Foods is seeking a highly skilled Commodities Director to lead the Commodities team's analysis and research of particular commodity markets relevant to the company. The successful candidate will work closely with the Commodities Leadership and direct reports in expanding reporting and analysis capabilities.Key ResponsibilitiesDevelop...

  • Accounting Manager

    1 month ago

    Smithfield, United States Smithfield Foods Full time

    If you are currently employed at Smithfield, please log into Workday and submit your application through the Jobs Hub. A great job-and a great future-awaits you at Smithfield Foods. We are an American food company with a leading position in packaged meats and fresh pork products. We're looking for motivated people who want to join our team and grow lasting...

  • Compliance and Privacy Officer

    1 week ago

    Smithfield, United States Neighborhood Health Plan of RI Full time

    Job Details Job Location Smithfield, RI - Smithfield, RI Position Type Full Time Education Level Bachelors Degree   Travel Percentage Occasional Job Shift Daytime Job Category Management Description Position Overview Location: Smithfield, RI (On-site) The Compliance and Privacy Officer has primary responsibility for Neighborhood Health Plan of Rhode...

  • Director, Corporate Actions Specialist

    3 weeks ago

    Smithfield, Ohio, United States Fidelity Investments Full time

    Job SummaryWe are seeking a highly analytical professional with Brokerage Operations experience to join our Agency Lending Corporate Actions team. As a Director, you will be responsible for the accurate and timely announcement and processing of Domestic and International Corporate Action and Dividend events in a high-energy and fast-paced team...

  • Director of Sales and Strategy

    3 weeks ago

    Smithfield, Utah, United States Smithfield Foods Full time

    Job Summary:Smithfield Foods is seeking a highly skilled Director of Sales and Strategy to lead our sales efforts and drive business growth. As a key member of our leadership team, you will be responsible for developing and executing sales strategies that maximize sales volume and margin growth for targeted customers and clients within Smithfield.Key...

  • Nurse Practitioner

    3 weeks ago

    Smithfield, United States Alignmed Partners Full time

    Sub-Acute, Long-Term Care is a sector of healthcare exploding with potential and work-life balance flexibility (no on call or weekends)!We are seeking a full-time (32-40 hours per week) provider for our Greenville Center located in Greenville, RI. This position can be filled by a nurse practitioner or physician assistant. New grads are welcome to apply.The...

  • Vice President of Finance

    3 weeks ago

    Smithfield, Ohio, United States Neighborhood Health Plan of RI Full time

    Job SummaryWe are seeking a highly experienced and skilled Vice President of Finance to join our team at Neighborhood Health Plan of Rhode Island. The successful candidate will be responsible for leading our financial operations, developing and executing financial strategies, and ensuring compliance with federal and state regulatory agencies.Key...

  • Curriculum Director in Northern Rhode Island

    3 weeks ago

    Smithfield, Ohio, United States Kids Klub Inc Full time

    Job DescriptionWe are seeking a highly skilled and experienced Site Director/Curriculum Administrator to lead our Before and After School site for Kids Klub in Northern Rhode Island.The ideal candidate will have a strong background in education and experience working with school age children. They will be responsible for overseeing the supervision and...