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.
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 valid active unrestricted state(s) RPH license required.
Knowledge of current health care and managed care pharmacy practices strongly preferred.
Professional designation preferred.
Preferred Skills, Capabilities, and Experiences:
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.
