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Pharmacy Account Director - Commercial Employer Group

Field: This field-based role enables associates to primarilyoperatein the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement.

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.

This position will require travel up to 50% travel across Central Time Zones.

Alternate locations may be considered with ideal candidates being located in Central Time Zones.

CarelonRx is a proud member of the Elevance Health family of companies. CarelonRx pairs a strong, clinical-first lens with deep pharmacy expertise to create solutions that improve outcomes, control costs, and enhance each member's health.

The Pharmacy Account Director serves as a strategic clinical consultant for commercial employer group clients, providing pharmacy benefit expertise, utilization management insights, and recommendations to improve plan performance and manage pharmacy trend. This director partners closely with account management, sales, clients, consultants, and brokers to deliver consultative pharmacy solutions, support client retention and growth objectives, and strengthen client relationships through clinical leadership and industry expertise.

How You Will Make an Impact

Primary duties may include, but are not limited to:

• Serve as the primary clinical pharmacy consultant for assigned commercial employer group clients, providing strategic guidance on pharmacy benefit performance, utilization trends, emerging therapies, and cost-management opportunities.

• Partner closely with account management, sales, consultants, and brokers to support client relationships, deliver pharmacy benefit insights, and communicate the value of PBM programs and clinical solutions.

• Develop and deliver client-facing presentations, annual reviews, pharmacy trend updates, and strategic recommendations to employer groups, consultants, and broker partners.

• Provide ongoing clinical support to regional decision makers and support PBM field sales teams during RFP processes, finalist presentations, and client consultations.

• Analyze pharmacy utilization data and assist in the development of recommendations for outcomes-based savings opportunities, trend management strategies, and clinical program enhancements.

• Collaborate with internal business partners to evaluate and support therapeutic programs, utilization management initiatives, and pharmacy solutions that improve client outcomes and financial performance.

• Respond to client and internal stakeholder inquiries regarding pharmacy benefits, formulary strategy, specialty pharmacy management, and clinical program performance.

• Support internal health plan penetration, retention, and growth objectives through strong consultative relationships and clinical expertise.

Minimum Requirements:

Requires a BA/BS and a minimum of 5 years of related experience; or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities, & Experiences:

• Active Pharmacy License is strongly preferred.

• Prior experience working at a PBM and/or as a pharmacy benefit consultant preferred.

• Experience working with brokers or consultants preferred.

• Prior client facing experience preferred.

• Experience working within the Commercial space preferred..

• Strong leadership/managerial skills and ability to motivate/coach other staff strongly preferred.

• Strong written and oral communication skills, problem solving skills, attention to detail and well organized preferred.

• Strong critical thinking, problem-solving, time management, and attention to detail skills preferred.

• Proficiency with Microsoft Excel, PowerPoint, Word, and other business productivity tools used to analyze data and deliver client presentations preferred.

For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.

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 may contact elevancehealthjobssupport@elevancehealth.com 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.