Elevance Health
Medicare Formulary Strategy Manager
Elevance Health, Costa Mesa, California, United States, 92626
Overview
Anticipated End Date:
2025-10-29 Position Title:
Medicare Formulary Strategy Manager Job Description:
Medicare Formulary Strategy Manager Hybrid 1:
This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
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. The
Medicare Formulary Strategy Manager
will lead the design, development, and execution of formulary strategies for all Group Retiree Solutions (GRS) formularies. This role requires close collaboration with cross-functional partners—including Clinical Pharmacy, Compliance, STARS, Medical Management, Actuary, Product, and Rebate teams—to ensure formularies are clinically appropriate, cost-effective, competitive in the marketplace, and compliant with CMS regulations. The position also provides formulary strategy support across Elevance Health’s Medicare Advantage Prescription Drug (MAPD) business.
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Anticipated End Date:
2025-10-29 Position Title:
Medicare Formulary Strategy Manager Job Description:
Medicare Formulary Strategy Manager Hybrid 1:
This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
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. The
Medicare Formulary Strategy Manager
will lead the design, development, and execution of formulary strategies for all Group Retiree Solutions (GRS) formularies. This role requires close collaboration with cross-functional partners—including Clinical Pharmacy, Compliance, STARS, Medical Management, Actuary, Product, and Rebate teams—to ensure formularies are clinically appropriate, cost-effective, competitive in the marketplace, and compliant with CMS regulations. The position also provides formulary strategy support across Elevance Health’s Medicare Advantage Prescription Drug (MAPD) business.
#J-18808-Ljbffr