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

Workshift: Job Family: MED > Licensed/Registered Pharmacist/Pharmacy Technician

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.

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 may contact View email address on click.appcast.io for assistance. 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.