Pharmacy Account Manager - CarelonRx

Pharmacy Account Manager - CarelonRx

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.

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: Non-Management Exempt