Pharmacist Program Manager - CarelonRx

Pharmacist Program Manager - CarelonRx

Location(s): Indianapolis, IN, Atlanta, GA, Miami, FL, Tampa, FL, Norfolk, VA, Overland Park, KS, Mason, OH

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. Alternate locations may be considered if candidates reside within a commuting distance from an office.

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 Pharmacist Program Manager leads pharmacy programs to improve Stars performance and lower cost of care in value-based organizations. Please note: This role is not practicing clinical pharmacy.

How you will make an impact:

• Manages both internal and external stakeholders, resolve pharmacy benefit issues, and support Sales and provider-facing pharmacists with clinical guidance, standardized workflows, and cross-functional alignment to ensure compliance.
• Ensures the proper reaction to and resolution of issues concerning the pharmacy benefit program.
• Acts as a support resource for the sales team regarding efforts to improve the performance of the pharmacy benefit for existing accounts.
• Lead analytics-driven pharmacy programs to improve Medicare Stars medication measures, close quality gaps, and reduce avoidable cost of care.

Minimum Requirements

• Requires BA/BS in Pharmacy and a minimum of 2 years of managed care pharmacy experience; or any combination of education and experience, which would provide an equivalent background.
• Current unrestricted Pharmacist license in applicable state(s) required.

Preferred Qualifications, Skills, and Experiences:

• Knowledge of current health care and managed care pharmacy practices strongly preferred.
• Professional designation preferred.

Job Level: Non-Management Exempt