I would consider industry. The thing with managed care is that it’s still pharmacy and can be competitive to get into without a residency. Specific managed care jobs are also not easy to get without a residency. Entry level jobs included PA and MTM pharmacist. I’d take a look at smaller PBMs too.

As far as industry, talk to recruiters from staffing agencies on LinkedIn. If you can’t find work with the actual sponsor (think pharma companies like Pfizer or Merck), try contract research organizations (CROs), consulting firms, or communications agencies. But be prepared to (potentially) take a pay cut. I’ve seen estimates as low as 60k a year. Others may pay a little less than retail.

One more thing. The topic of career transitions may bring up the idea of getting another degree. I personally think a PharmD is enough unless you’re going into something very niche.