, Georgia

Description

SHIFT: Day Job

SCHEDULE: 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.

Pharmacist Clinical

*West Coast area locations preferred

Summary: The Pharmacist Clinical is responsible for providing clinical pharmacy support to Medicare and Commercial providers. Duties and responsibilities will be focused on improving  quality(STAR and HEDIS) and cost measures through close collaboration with providers engaged in value based care arrangements.  You will be responsible for influencing providers to change prescribing practices to improve member health and reduce the total cost of care. To be successful in this role, you’ll need to have excel experience and passionate about building relationships to improve member health. We are looking for candidates with PBM or Managed Care experience; retail pharmacy experience does not apply.

Primary duties may include, but are not limited to:

  • Support network physicians by analyzing organizational and practice-level reports and identifying opportunities to:
    • Improve pharmacy quality (STAR, HEDIS, etc)
    • Reduce pharmacy cost
  • During practice-level discussions, act as a subject matter expert in pharmacy-related clinical measures for value-based care agreements
  • Attend external provider meetings to communicate practice-level pharmacy goals and opportunities for reaching goals 
  • Educate internal matrix provider partners about pharmacy programs and goals
  • Field questions from providers related to Pharmacy programs (benefits, reporting tools, CMS, formulary, etc.)
  • Participate in development and testing of pharmacy provider tools with the lens of a clinical user
  • Close feedback loop between Anthem Pharmacy and Providers
  • Stay up to date with STAR & HEDIS measures
  • Provide education to the external network providers as requested/needed in support of Clinical pharmacy measures
     

Qualifications

  • Requires a registered pharmacist; minimum 2 years of managed care pharmacy (PBM) experience or residency in lieu of work experience; or any combination of education and experience, which would provide an equivalent background
  • Must possess an active unrestricted state license to practice pharmacy as a Registered Pharmacist (RPh)
  • PharmD preferred
  • Requires strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills
  • Experience influencing providers prescribing practices
  • Managed care pharmacy experience outside of solely retail strongly preferred.
  • Prior experience with developing programs impacting providers strongly preferred
  • Position will be office based with occasional travel required (approx. 10-20%)

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and has been named a 2019 Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran. Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions.

, Georgia

If you’re a reserve or veteran member of the military, we foster a welcoming environment that’s dedicated to honoring your service and helping you achieve your career goals. Veterans of Anthem — one of our Business Resource Groups — partners with our Talent Acquisition teams to maximize career offerings for you and your family members, striving to help you transition to civilian service and grow your career at the same time. 

Join Anthem's Military and Veteran Talent Network: https://anthemcareers.ttcportals.com/pages/military 

WE ARE HIRING

Anthem, Inc. is currently seeking military veterans and military spouses with operations experience.  Whether your experience is hands-on as an operational specialist or in operational leadership, Anthem wants to have an impact on your career and professional growth by speaking with you about their career opportunities.

If you are interested in learning more, check out Anthem's current open positions to the right for more information and to apply today!

Not sure where to start?  Send RecruitMilitary Success Manager, Taylor Groves, your questions at taylor.groves@recruitmilitary.com 

 

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