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.

Reporting to the VP, Product Strategy, The Product Innovation Director is responsible is to create an innovation pipeline of current and future pilots and solutions to meet current and emerging needs of the Pharmacy Benefit Management (PBM) market. This leader will drive build, buy or partner decisions, based on comprehensive reviews of the market landscape of disruptive and emerging innovative digital partner solutions. This leader will also perform opportunity analyses, generate competitive and market insights -  and identify client emerging needs to produce/inform pilots/test and learn opportunities that will reimagine pharmacy care – for now and in the future.  The leader will continually identify areas of white space or competitive gaps among our current and prospective Buyer groups, creating segmented solution sets at the market, buyer segment and solution levels.

This position engages significantly with matrixed stakeholders (Clinical, Operations, Pricing, Product, IT, Business Development etc.) that collaborate to develop, produce, pilot, implement, and service new products.  In this capacity, the leader will create both standalone pharmacy and integrated pharmacy/medical solutions that bring value across the total addressable market:  clients/prospects within Elevance Health as well as carve out payor agnostic strategic solutions designed to meet current and emerging market needs and drive significant profitable growth and retention of our market base.

Primary interfaces include Integrated Segment resources such as the CarelonRx PBM leadership, Sales and account teams, Commercial Plan market segment leaders, Commercial Product, Pharmacy Clinical Account Services, Marketing, Pricing team, Underwriting, Product and Medical Account Services, and Pharmacy Operations, Analytics, IT, Legal and Compliance.  

This position can work in a hybrid way from any Elevance Health corporate location.

How you will make an impact:

• Develop strategic plans and execution needs for new and emerging solutions, driving business case development, market trends and insights and securing funding to grow and retain business, creating a differentiated position in the market.

• Developing a vision of how pharmacy care can transform to a digital first, virtual first, member/patient centric ‘whole person’ and connected experience.

• Create an innovation COE type of approach, with opportunities to co-create with our clients in select markets.

• Lead an innovation pipeline and best practice Product Lifecycle Management (PLM) approach, meeting goals for engagement, retention, satisfaction and growth within a highly accountable and visible framework focused on driving results to plan.

• Develop executive level relationships (higher-wider-deeper) directly as well as drives plan execution throughout the organization.

• Drive the business case for proposed pilots, securing funding to create an ongoing innovation pipeline for all pharmacy lines of business.

• Attend select best & final presentations to feature innovation initiatives and/or pilot recommendations working with sales and account teams.

• Issue management for product development and operationalization and client implementations.

• Evaluate new opportunities for revenue growth such as new product expansions.

• Develop strong collaborative relationships with Elevance commercial product team/innovation partners,  key stakeholders critical to the successful launch of differentiating products and services across Pharmacy Sales/Account Directors, and all CarelonRx cross functional partners/resources that support the PBM business.

• Exceed the retention, satisfaction and product expansion goals by focusing on key product opportunities, including key performance indicators such as member NPS, Client NPS, Cost of Care reduction and profitable growth.

Requires a BS/BA degree in a related field and a minimum of 10 years of related experience including 3 years of leadership/management experience; or any combination of education and experience, which would provide an equivalent background.

Highly preferred skills and experiences:

-MBA and finance degree.

-8+ years of experience in new business development, Partnerships, financial evaluation, general business management, P&L ownership and/or contribution, product strategy methodology, innovation best practices, product management including design and use of market research to direct and execute new product innovations.

-Experience with Specialty Pharmacy product management in the healthcare and pharmacy benefit management highly desired.

-Highly proficient at data and financial analytics to assess business cases for high value opportunities.

-Entrepreneurial and visionary professional, with the ability to create a vision and successfully articulate the vision to all levels of the organization.

-Experience leading cross functional initiatives and executing within a large matrixed organization, building relationships at multiple levels to achieve objectives and aligned value.

-Successful experience developing and executing short and long-term strategic growth plans.

-Excellent executive presentation and communication skills, both verbal and written. Successful experience presenting. 

--Ability to travel ~30%

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.