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Provider Network Management
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PS24553 Requisition #

Your Talent. Our Vision. At Anthem Blue Cross and Blue Shield, a proud member of the Anthem, Inc. family of companies,  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 healthcare.

 

This is an exceptional opportunity to do innovative work that means more to you and those we serve.



Location:  This position is office-based and can work from one of the following 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 PBM Pricing Strategy Analyst Manager is responsible for managing the Pharmacy Services pricing and Administrative Services Only (ASO) support functions. 

Primary duties may include, but are not limited to: 
  • Implements new processes, process improvements, and best practices related to pricing, guarantee monitoring, and ASO passback activities.  
  • Creates and implements metrics and supports performance measures to establish performance objectives for revenue maximization and pharmacy pricing. 
  • Creates tools and processes to monitor margin revenue, pricing accuracy, and client retention. 
  • Monitors revenue performing below thresholds and implements necessary tasks to bring performance to or above targets. 
  • Implements pricing in the system related to margin. 
  • Supports the Pharmacy Services team in implementing future revenue, member expansion and growth capacity. 
  • Assists with developing pharmacy pricing training to underwriters and updates to underwriting guidelines.  

  • Requires a BA/BS in Finance or health-related field.  MBA is preferred.
  • 5+ years of experience with a Pharmacy Benefits Manager (PBM) and pricing.
  • 5+ years of data analysis experience is required.
  • Business analysis, process improvement and/or project management experience is strongly preferred.
  • Requires strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. 
  • High level of proficiency MS Office (Word, Excel, Outlook, PowerPoint) is required.


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 antheminc.com/careers. 
An Equal Opportunity Employer/Disability/Veteran.

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We believe in creating opportunities for people who are passionate about making a difference – even if their level of enthusiasm exceeds their level of experience.

That’s why we offer a variety of internship programs designed to provide a unique, first-hand perspective on the work we do, and the possibilities available within our company and industry.

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