Pharmacist Program Manager - CarelonRx

Elevance Health•Tampa, FL

6d•Hybrid

About The Position

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

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.

Nice To Haves

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

Responsibilities

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.