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Provider Network Management
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PS12700 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.

PBM Pricing Strategy Analyst / Sr / Mgr (*Job family) - PS12700
Location(s): Mason, OH; Atlanta, GA; St. Louis, MO; Virginia Beach, VA; Northern New Jersey; Chicago, IL; Minneapolis, MN; Las Vegas, NV; St. Louis, MO; Louisville, KY


PBM Pricing Strategy Analyst: Responsible for 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 guarantee monitoring and ASO passback activities. Creates and implements metrics and supports performance measures to establish performance objectives for revenue maximization. Creates tools and processes to monitor margin revenue 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.  


PBM Pricing Strategy Analyst Sr.: Responsible for 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 guarantee monitoring and ASO passback activities. Creates and implements metrics and supports performance measures to establish performance objectives for revenue maximization. Creates tools and processes to monitor margin revenue 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.  


PBM Pricing Strategy Analyst Mgr.: Responsible for 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.

PBM Pricing Strategy Analyst: Requires a BA/BS in Finance or related field; 1+ years of experience with Pharmacy Benefits Manager (PBM), data analysis; or any combination of education and experience, which would provide an equivalent background.

PBM Pricing Strategy Analyst Sr.
: Requires a BA/BS in Finance or related field; 3+ years of experience with Pharmacy Benefits Manager (PBM), data analysis; or any combination of education and experience, which would provide an equivalent background.

PBM Pricing Strategy Analyst Mgr.: Requires a BA/BS in Finance or related field; 5+ years of experience with a Pharmacy Benefits Manage (PBM), pricing, data analysis; or any combination of education and experience, which would provide an equivalent background. MBA preferred.


Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2017 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at antheminc.com/careers. AnEqualOpportunityEmployer/Disability/Veteran

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Underwriting

Work alongside some of the most skilled actuarial professionals in the business. Our underwriting team has opportunities available in pre-sales, retention and iimplementation, risk analysis, life and disability underwriting, and medical evidence underwriting.

Anthem Underwriting associates collaborate with some of the most skilled actuarial professionals in the business. Join us as we apply advanced research and risk analysis to deliver solutions that positively impact lives of consumers .

  • Work across life and disability underwriting, pre-sales, retention and implementation, risk analysis and medical evidence underwriting
  • Combine out-of-the-box thinking and solid analytical skills to generate innovative, life-enhancing solutions
  • Partner with sales professionals to write profitable business that achieves enterprise-wide goals
  • Accurately assess risk and craft coverage plan proposals that meet the needs of both the Company and its members

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