Elevance Health Pharmacy Account Director, Medicare - COLUMBUS, Ohio 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 developing, preserving, and deepening relationships with clients, including Elevance Health Medicare Health Plans. This position 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, such as GRS (Medicare Employee Groups)/EGWP (Employee Group Waiver Plan), and more.
Utilizing strong account management experience to cater to the 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 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.
Minimum Qualifications:
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 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 strategically pushing back, maintaining a robust partner-centric relationship.
Job Level: Director Equivalent
Workshift:
Job Family:
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.
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.
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