Description
SHIFT: Day JobSCHEDULE: Full-time
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 care companies and a Fortune Top 50 Company.
- Identifying and implementing strategies to manage specialty cost of care on both the medical and pharmacy benefit.
- Researching and synthesizing detailed clinical data related to specialty drugs to identify opportunities or impact.
- Analyzing specialty pharmacy spend and trends data and creating mitigating strategies in response to trend.
- Managing clinical program implementations, including regulatory requirements.
- Ownership of multiple programs currently in varied phases of implementation across all lines of business.
- Other areas of responsibilities include, specialty benefit design strategies, strengthening the specialty value proposition and presenting to internal and external clients as requested.
Qualifications
- Requires a registered pharmacist; minimum 2 years of managed care of managed care pharmacy experience including knowledge of specialty pharmacy - medical, pharmacy and managed care pharmacy practices; or any combination of education and experience, which would provide an equivalent background.
- Current unrestricted state license to practice pharmacy as a RPH, required.
- PharmD preferred.
- Managed Care experience required.
- More than only retail pharmacy experience strongly preferred.
- Experience with pharmacy data and analytics preferred.
- Experience with medical claims and medical data preferred.
- Experience with developing and implementing pharmacy quality & cost savings programs.
- Strong presentation skills preferred.
- Requires a registered pharmacist; minimum 4 years of managed care of managed care pharmacy experience including knowledge of specialty pharmacy - medical, pharmacy and managed care pharmacy practices; or any combination of education and experience, which would provide an equivalent background.
- Current unrestricted state license to practice pharmacy as a RPH, required.
- PharmD preferred.
- Managed Care experience required.
- More than only retail pharmacy experience strongly preferred.
- Experience with pharmacy data and analytics preferred.
- Experience with medical claims and medical data preferred.
- Experience with developing and implementing pharmacy quality & cost savings programs.
- Strong presentation skills preferred.
At Anthem, Inc., we believe that our health connects us all. So we focus on being a valued health partner and delivering quality products and services that give members access to the care they need. With more than 100 million people served by our affiliated companies including approximately 40 million enrolled in our family of health plans, we can make a real difference to meet the needs of our diverse customers.
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