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Pharmacy Account Director, Medicare

2 months ago

Tampa, Florida, United States Elevance Health Full time

About the Role

Elevance Health is seeking a highly skilled Pharmacy Account Director, Medicare to join our CarelonRx team. As a proud member of the Elevance Health family of companies, we leverage the power of new technologies and a strong, clinical-first lens to deliver member-centered, lasting pharmacy care.

In this pivotal role, you will be responsible for developing, preserving, and deepening relationships with clients, including Elevance Health Medicare Health Plans. This position requires substantial knowledge of the Medicare business and an understanding of the intricate workings of a pharmacy benefit manager.

Your Key Responsibilities

  • Handling a variety of Medicare pharmacy accounts, including GRS (Medicare Employee Groups) and EGWP (Employee Group Waiver Plan)
  • Utilizing strong account management experience to cater to the complex needs of distinct clients, such as Medicare
  • Skillfully interpreting pharmacy data and narrating a compelling narrative to our clients
  • Assisting 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 clinical teams for programs and outcomes, home delivery, specialty pharmacy, and infusion
  • Deftly partnering with other leaders across Carelon services relating to pharmacies, such as behavioral health and palliative care
  • Creating and presenting bespoke reporting packages contingent on client preferences

Requirements

  • 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 its implications on the pharmacy
    • Understanding of the M3P program, which influences drug affordability for Medicare members
    • Understanding of 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

What We Offer

Elevance Health offers a dynamic and supportive work environment, with opportunities for professional growth and development. We are committed to delivering exceptional care and service to our members and clients.