Pharmacist Program Manager at Elevance Health in Richmond, Virginia

Job Description:

Location: Candidate must live within 50 miles of an Elevance Health PulsePoint office. This is a Hybrid 1 position, meaning you will go into the office 1-2 times a week.
Job Description Summary:
Responsible for serving as the primary contact for a specific pharmacy program which may be assigned by geographic location, business unit, or functional area.




How you will make an impact:

• Manages both internal and external stakeholder communications for assigned area.


• 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.

• Translates client intent into clinical system configuration requirements.


• Mentors clinical and non-clinical associates.


• Analyzes detailed data related to formulary/clinical rules setup and pharmacy claims adjudication.


• Performs daily workflow monitoring and prioritization to meet client deadlines.

• 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 valid active unrestricted state(s) RPH license required.


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


• Professional designation preferred.

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


• Previous employment at a pharmacy benefit management company a plus.


• Experience with formulary design and clinical rules preferred.


• Strong analytical and Excel skills preferred.


• Professional designation preferred.