A proud member of the Elevance Health family of companies, CarelonRx (formerly IngenioRx) leverages the power of new technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care.CarelonRx's Pharmaceutical Rebates Org is looking to hire a Director, Formulary Strategy Development. This high-performing individual contributor will play a key role in driving affordability across multiple lines of business (Commercial, Medicaid, Medicare, ASO clients) by partnering with internal and external stakeholders to drive formulary strategy and rebate optimization. This Director will collaborate with cross-functional partners to identify and unlock new value and growth opportunities through the optimization of existing formulary solutions and development of new formulary solutions to meet market needs. Advocating internally and externally to advance CarelonRx’s unique value proposition across multiple formulary product solutions. The position will work in a hybrid way (remote and in office one day a week) from any US Elevance Health corporate office.How you will make an impact:
Partner with key internal and external stakeholders to drive value and innovation through formulary strategy development and optimization.
Present contract scenarios and opportunities to internal stakeholders and health plan and client decision-makers across multiple lines of business to gain alignment on strategy and implementation.
Ensure that formulary and contract strategy aligns with overall strategic objectives.
Collaborate with internal and external partners to develop and implement future revenue, formulary product portfolio expansion and membership growth initiatives.
Provides consultative support to sales and account management partners, including development of strategies to win new business and retain current clients by increasing rebates and supporting the sales process.
Build solid and collaborative relationships with pharmaceutical manufacturer partners.
Requires a BA/BS degree in a related field and minimum of 8 years contract negotiation and sales experience; or any combination of education and experience, which would provide an equivalent background.Preferred skills & experiences:
8 years in the healthcare industry with a pharmacy focus and experience working inside a Pharmacy Benefit Manager (PBM), Health Plan, or related pharmacy business in functions that span formulary development, business strategy, clinical strategy, contract negotiation, financial analysis, and client management or sales.
Proven experience and success with formulary strategy development, formulary solution design, and their execution across multiple lines of business.
MBA or PharmD degree and track record of driving business strategy, growth and innovation.
Experience working with pharmaceutical manufacturer contracts as well as pricing, forecasting, trend analysis and financial modeling
Pharmacy Supply chain knowledge including Specialty Pharmacy, Site of Care and Network Solutions
Strong analytical skills including developing reports and synthesizing data to identify trends
Highly collaborative, comfortable to work across matrix organization on problem resolution, negotiation, consensus building, conflict management, and decision-making.
Customer-focused and dedicated to meeting and exceeding customer expectations.
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 AreElevance 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 WorkAt 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. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.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.
