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Anthem Pharmacist (Specialty) Program Mgr/Remote - Selected locations preferred (PS28790) in Waukesha, Wisconsin

Pharmacist (Specialty) Program Mgr/Remote - Selected locations preferred (PS28790)

Location: United States

Requisition #: PS28790

Post Date: Nov 14, 2019

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.

Pharmacist (Specialty) Program Mgr - Selected locations preferred (PS28790)

*This position is remote

Summary: Responsible for serving as the Specialty pharmacy subject matter expert for Medicaid clients and Anthem affiliated health plans in west New York and Arkansas. Also, responsible for leading the up-sell and implementation of clinical program solutions to clients in accordance with client business plans and coordination with the account management team. Ensures the proper reaction to and resolution of issues concerning the pharmacy benefit program. Responds to RFP and RFI requests in regulation with internal and external guidelines. Manages both internal and external stakeholder communications for assigned area.

Primary duties may include, but are not limited to:

  • Responsible for managing and coordinating clinical relationships clients

  • Work in conjunction with the broader specialty pharmacy team on a variety of clinical account projects including identifying short-term and long-term upsell opportunities that support better client medication management

  • Responsible for individually managing a set of clients with the account management team, conducting face to face meetings with clients, developing and delivering client benchmarks

  • Identify and implement opportunities for provider collaboration that will improve quality and / or reduce cost. Visit key provider group as necessary

  • Prepare and present provider risk group reporting and updates

  • Develop and execute annual Pharmacy Business Plans in collaboration with the plan leadership to drive membership, assure contract compliance, financial targets and other plan strategies

  • Identify and present trends to leadership

  • Requires a current unrestricted state license to practice pharmacy as a registered pharmacist (RPh); minimum 2 years of managed care pharmacy experience including knowledge of current health care and managed care pharmacy practices; or any combination of education and experience, which would provide an equivalent background

  • Minimum 3 years of managed care pharmacy experience is preferred

  • Must have client facing experience

  • Must have experience responding to RFPs/RFIs

  • Must demonstrate proficiency in project management

  • Must demonstrate proficiency in clinical/technical communication to business leaders, an ability to communicate messages pertaining to programs and systems using data and other details in a way business leaders can understand

  • Must demonstrate proficiency as a key participant in program development, where the program seeks to improve clinical outcomes, quality, cost or other measure

  • Experience in data analytics is preferred

  • Must be able to provide comprehensive solutions to an issue while considering both internal and external needs

  • Must have Microsoft Office Proficiency: Outlook, Excel, Power Point, Word

  • Minimum 3 years of PBM (Pharmacy Benefit Management) or health plan experience strongly preferred

  • Professional designation preferred

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 An Equal Opportunity Employer/Disability/Veteran