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Health Policy Director, Pharmacy Benefits Management

  • Job Family: PCG > Policy
  • Type: Full time
  • Date Posted:
  • Anticipated End Date:
  • Reference: JR110356





Health Policy Director, Pharmacy Benefit Management

Location:  This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations.

The Health Policy Director, PBM is responsible for maintaining a portfolio of public policy issues facing the company and leading related activities.

How You Will Make an Impact:

  • Independently manages a portfolio of public policy issues focused on PBM and pharmacy. As part of this work, the Health Policy Director will work with internal leadership and subject matter experts to develop public policy analysis and recommendations in support of enterprise goals and objectives.

  • Leads related public policy activities including:

    • Develops positions that support enterprise objectives, ensures availability of persuasive advocacy materials, coordinates related activities, and facilitates the flow of information between impacted areas.

    • Develops proactive policy agendas at the state level related to public policy issues covered in the portfolio.

    • Reviews regulatory alerts and ensures Regulatory Affairs and the Mandates organization have timely background policy and legislative information needed to move forward on the implementation of key legislation or regulations.

    • Monitors, evaluates, and tracks proposed legislation and regulations to identify moderately complex public policy issues, assess the impact on the business, and develop recommendations and/or solutions.

  • Partners with business leaders and State/Federal Government Affairs areas to achieve business goals, including growth initiatives.

  • Participates in workgroups hosted by external industry/trade groups to identify public policy issues impacting the company and to influence their positions, tactics, and strategies to more effectively support enterprise goals.

  • Serves as a resource to Elevance Health associates.

Minimum Requirements:

Requires a BA/BS in a related field; a minimum of 8 years of experience in health policy development; or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

  • Advanced degree in public policy, public health, economics, statistics, law, PharmD, or a related field preferred.

  • Experience working with AHIP, BCBSA, Pharmaceutical Care Management Association, the National Association of Specialty Pharmacy (NASP) and State Boards of Pharmacy, preferred.

  • Knowledge of current policy issues impacting the business and industry, preferred.

  • Direct experience working on issues impacting pharmacies including, but not limited to drug rebates, spread pricing, accumulator programs, Scope of Practice, Any Willing Pharmacies, Pharmacy Audits, Pharmacy Steering, State Boards of Pharmacy, and URAC Accreditation, preferred.

  • Experience analyzing and developing clear, concise communications addressing policy proposals, legislation, and regulation, preferred.

  • Knowledge of government programs, including Medicare and 340B, preferred.

  • Strong analytical and communication skills, including the ability to translate complex ideas into understandable and compelling written and verbal communications, preferred.

  • Experience engaging with state or federal regulatory agencies, preferred.

  • Strong interpersonal skills and ability to work in a fast-paced team environment focused on collaboration and achieving consensus in support of collective priorities and goals, preferred.

  • Detail-oriented, well-organized, self-motivated, and capable of managing multiple policy issues and projects simultaneously, 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.comfor assistance.

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