Program Director, Pharmacy Network Strategy & Oversight

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 is looking for a Program Director to join its Pharmacy Benefit Management Network Management team. Reporting to the Staff VP of Pharmacy Network Management and Strategy, this Program Director will spearhead the strategic development, implementation, and oversight of tailored pharmacy network solutions for unique hospital system clients, Indian tribal entities, and other clients with custom pharmacy network needs. Unlike standardized off-the-shelf pharmacy networks, these customized solutions address the nuanced needs of clients who manage their own pharmacies or have special relationships with pharmacies on-site or nearby or have pharmacy network customization needs. This role is critical to our business success, as these high-value, self-funded clients are key to our win-and-retain strategy. Their satisfaction directly impacts our ability to secure and maintain long-term partnerships with the employers/other clients we serve. (This position can work in a hybrid way from any eastern or central time zone Elevance Health US corporate location)

How you will make an impact

• Directs the development, planning, prioritization, approval, implementation and compliance of on-going external client facing programs.

• Establishes program governance when needed to assure response to issue escalation; develops program budget and ensures program meets its stated objectives.

• Provides subject matter expertise in response to day to day business issues; researches applicable subject matter practices; and remains aware of industry trends.

• Manages external client facing relationships and partners with corporate and regional business areas.

• Develops communication documents and training criteria related to external client facing program success measures.

• Develops documentation to support meeting presentations and the tracking and reporting of the program's success.

• Provides leadership to program managers and project managers.

• Program directors typically manage external client facing programs that require managing activities and resources of multiple departments or business areas of the organization.

Requires a BA/BS and minimum of 10 years experience in external client facing program management, project management; complex business processes, strategic and business planning; or any combination of education and experience, which would provide an equivalent background.

Highly preferred skills and experiences

• Extensive Experience in Program Management and Client Engagement. Proven track record in leading and managing complex program initiatives, particularly in custom solutions for high-value clients. Experience in clear communication, accurate documentation, and proactive risk management to keep all stakeholders informed and aligned.

• Strong background in gathering business requirements, defining strategies, and leading implementations to enhance client satisfaction and retention.

• Proficiency in Cross-functional Leadership and Stakeholder Coordination. Demonstrated ability to act as a central coordinator, working across multiple departments (benefits, financial management, compliance, sales, account management) to ensure seamless execution of programs.

• Knowledge of managed care, healthcare infrastructure, familiarity with healthcare regulatory and compliance impacts on business operations.

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 ~~~ for assistance.