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Pharmacy Account Director, Medicare

2 months ago

Meriden, 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 ranging such as GRS (Medicare Employee Groups)/ EGWP (Employee Group Waiver Plan), and more.

  • 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.

-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.