Pharmacy Account Manager - CarelonRx

Anticipated End Date:

Position Title:

Job Description:

Pharmacy Account Manager

Location(s): Durham, NC, Winston-Salem, NC

Hybrid: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

The Pharmacy Account Manager will be responsible for developing and maintaining relationships with external clients and prospects, and reaching internal health plan penetration goals through the use of strong consultative skills.

How you will make an impact:

• Supports the strategic sales and tactical plans by consulting with key decision makers and operational stakeholders in the region.

• Provides ongoing support to regional decision makers and support pharmacy benefit management (PBM) field sales team during request for proposal (RFP) processes.

• Assists in the development of recommendations for outcomes-based savings, revenue opportunities and meeting internal health plan penetration goals.

Minimum Requirements: 

• Requires a BA/BS and a minimum of 3 years of related experience; or any combination of education and experience which would provide an equivalent background.

• Must possess an active unrestricted North Carolina state license to practice pharmacy as a Registered Pharmacist (RPh).

Preferred Skills, Capabilities and Experiences:

• Experience with pharmacy benefit management, including benefit design and clinical configuration.

• Experience working with state agencies and Medicaid health plans.

• Experience collaborating with medical directors, nurse case managers, and other clinical stakeholders.

• Strong relationship management and stakeholder engagement skills.

• Experience supporting project execution, implementation, and cross-functional coordination.

• Knowledge of Federal and Medicaid regulatory and compliance requirements.

• Ability to analyze spend and trend reporting, identify cost drivers, explain variances, and recommend mitigation strategies.

• Strong critical thinking, problem-solving, and issue-resolution skills.

• Strong time management skills with the ability to prioritize tasks and manage competing deadlines.

• Collaborative team player with the ability to build trust, communicate effectively, support shared goals, and contribute positively to a high-performing team environment.

Job Level:

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.

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.

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 and Influenza. 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 should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.

NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Example: If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM. In other words — the job is posted until 3/13, not through 3/13.