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Pharmacy Program Consultant or Manager (job family) (PS28517) Any Anthem location

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Business Support
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PS28517 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.




The Pharmacy Program Consultant or Manager role is responsible for leading the development, implementation, and management of a pharmacy product strategy. Position will support local large group with employer groups that elect to carve out their pharmacy program. 



Primary duties may include, but are not limited to:

 
  • Tracks individual product performance by benefit design, market segment and geography.
  • Supports the development of short and long term strategic product plans in support of market, sales and profitability objectives
  • Partners with product managers to achieve superior execution of product strategy in the marketplace 
  • Identifies system needs to support short and long term product strategy
  • Develops, implements and maintains competitive product platform 
  • Develops system requirements and ROI metrics
  • May lead effort or manage project teams in the implementation of regional and company-wide pharmacy initiatives including legislative changes, network/provider changes/ medical management program and policy initiatives, etc.
  • Partners with exchanges for eligibility, membership, subsidy payment, cost sharing subsidies, reconciliation, and grievance and appeals. Represents the interests of pharmacy in all Health Care Reform (“HCR”) initiatives 
  • Supports the development of short and long term strategic pharmacy plans in support of marketing and sales objectives.

Program Cons:

Requires a BA/BS degree; Graduate degree preferred.  3-5 years of external client facing experience in program/project management; 5 – 7 years of managed care pharmacy experience (highly preferred) or any combination of education and experience, which would provide an equivalent background. Project management certification preferred. Demonstrated knowledge of current health care, pharmacy regulations, managed care pharmacy practices, membership, claims or sales and marketing strategies.

 

 

 

Program Mgr: (this is not a leadership level position)

Requires a BA/BS degree; Graduate degree preferred.  5-7 years of external client facing experience in program/project management; 7 – 10 years of managed care pharmacy experience (highly preferred) or any combination of education and experience, which would provide an equivalent background. Project management certification preferred. Demonstrated knowledge of current health care, pharmacy regulations, managed care pharmacy practices, membership, claims or sales and marketing strategies.

 

(this is not a people leader Mgr level position but will operate as an individual contributor without direct reports) 

 

*** This position may be filled as Program Cons or Program Manager. Manager will determine level based upon the incumbent’s relevant knowledge, skills, education, and experience.***



“At this time, Anthem will not sponsor a new applicant for employment authorization for this position.”



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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Metrics & Data

Leverage your talents to make a difference in people's lives, by providing innovative, data-driven solutions that can measure and improve consumer's health.

Anthem metrics and data associates focus on creating innovative, data-driven solutions that can measure and track progress in our members’ health. Collaborate with internal and external experts to develop metrics-supported strategies for improving measurements and processes.

Enable physicians and hospitals to improve care with valuable information that improves care quality and affordability. Join us and help provide tools to help consumers make better decisions, as we create a simpler, more affordable, more accesible healthcare system.

Metrics and data associates at Anthem:

  • Develop statistical models and functional means for measuring the quality of health care members receive annually
  • Provide members with useful, powerful tools for self-evaluation and tracking of health issues and risk factors
  • Show initiative and make key decisions with the potential to dramatically influence patient outcomes and positively impact peoples' lives
  • Create thoughtful solutions that engage and empower members to make more informed decisions about their health and health care
  • Serve as a catalyst to improve the essential relationship between patient and health care provider
  • Leverage metrics and data to deliver resources that help overcome traditional coverage barriers such as education, literacy and language

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