Easter Seals Jobs

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.

• Strong analytical and Excel skills preferred.

• Professional designation preferred.

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. 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. 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.