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Pharmacy Account Director, Medicare
2 months ago
We are seeking a highly skilled Pharmacy Account Director to join our CarelonRx Medicare Sales and Account Management team. As a key member of our team, you will be responsible for developing, preserving, and deepening relationships with clients, including Elevance Health Medicare Health Plans.
Key Responsibilities- Account Management: Handle a variety of Medicare pharmacy accounts, including GRS (Medicare Employee Groups) and EGWP (Employee Group Waiver Plan).
- Client Relationship Building: Utilize strong account management experience to cater to the complex needs of distinct clients, such as Medicare.
- Pharmacy Data Analysis: Skillfully interpret pharmacy data and narrate a compelling narrative to our clients, assisting in the development of recommendations for outcomes-based savings and revenue opportunities.
- Client Support: Ensure our clients feel supported and their needs are comprehended and met effectively.
- Collaboration: Collaborate closely with 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.
- Partnership Development: Deftly partner with other leaders across Carelon services relating to pharmacies, such as behavioral health and palliative care, to foster future client partnerships.
- Reporting: Create and present bespoke reporting packages contingent on client preferences.
- Education: BA/BS along with a minimum of 5 years of related experience, or an equivalent combination of 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.
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.
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 for assistance.
