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PS34797 Requisition #
Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care.

This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health benefits companies and a Fortune Top 50 Company.

Pharmacist Program Mgr (IngenioRx locations) - PS34797
Locations: Atlanta-GA, Chicago-IL, Las Vegas-NV, Louisville-KY, Mason-OH, Minnetonka-MN, Morristown-NJ, St. Louis-MO, Virginia Beach-VA, Wallingford-CT

The Pharmacist Program Manager is responsible for serving as the primary contact for a specific pharmacy program which may be assigned by geographic location, business unit, or functional area.

Primary duties may include, but are not limited to
  • Manages both internal and external stakeholder communications for assigned area. 
  • Ensures the proper reaction to and resolution of issues concerning the pharmacy benefit program. 
  • Additional responsibility includes but not limited to the operation of Medicare Part D strategy. 
  • This includes from formulary creation during the bid period, through implementation, administration and oversight of the formulary during the monthly maintenance of business. 
  • In addition, the position will be responsible for assisting with Formulary strategy including utilization management creation and maintenance 
  • Acts as a support resource for the sales team regarding efforts to improve the performance of the pharmacy benefit for existing accounts.

  • Requires a registered pharmacist; 2 years of managed care pharmacy experience including knowledge of current health care and managed care pharmacy practices; or any combination of education and experience, which would provide an equivalent background. 
  • Current state license to practice pharmacy as a RPH required. 
  • Professional designation preferred.
Fundamental Components included but are not limited to:
  • Ability to think analytically to identify an issue, identify a solution with little impact to members and both internal and external teams.
  • Serve as a subject matter expert for Medicare Part D rules and regulations specifically related to formulary, transition fill, and drug requirements.
  • Ability to work in a high-paced, timeline driven environment
  • Ability to understand how decisions made related to the formulary with impact claims adjudication and hence beneficiaries.
  • Understanding of CMS formulary process, monthly Formulary Reference Files, Annual Bid Process, mid-year change process
  • Ability to present reports, training etc. to leadership, internal and external partners at conferences etc.

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran.

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Health Care Analytics

The Health Care Analytics (HCA) team focuses on transforming the way data is used within the health care industry. They provide strategic analysis that impacts business decisions, improves efficiency and drives innovation.

As we expand our technology and analytics capabilities, we are searching for associates that have a passion for analytics and the drive to pave the way in a growing industry.

Career opportunities are available in the following areas:

  • Strategy and planning: Ensures strategic alignment between HCA projects and the organization's broader goals. Also integrates analytics strategy into the execution process, including program management, project controls, communications and vendor oversight.
  • Operations: This department houses the HCA shared-services functions including project financial controls and estimations, demand management, user acceptance testing, and coordination and release management.
  • Customer management analytics: Provides accurate, timely and reliable delivery of client reports, which include data analyses, insights and other information that demonstrates Anthem’s value as a business partner.
  • Financial management analytics: Works closely with HCA leaders and other Anthem management to provide support to the finance and accounting teams through financial reporting systems.
  • Member management analytics: This team is responsible for the risk adjustment program and analytics, the member management program, predictive analytics and member management analytic products management.
  • Provider management analytics: Manages Anthem’s unit cost trend, provider contract modeling, network profiling, payment innovation analytic solutions, and other analytics that enable provider collaboration strategies.
  • Research, development and transformational analytics: Works with senior leaders to manage implementations, new product development and provides acquisition support.

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