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.
Responsible for leading the development, implementation, and maintenance of our Clinical Pharmacy Care Center for the Pharmacy Benefits manager (PBM) supporting Medication Therapy Management and Medicare Stars. Primary duties may include, but are not limited to:
Oversees clinical development of member and provider outreach programs designed to promote adherence, address gaps in care and manage drug spend.
Models programs and analyzes data to help guide program design, staffing and outreach strategy for the call center.
Responds to RFPs for internal and external business clients.
Provides leadership in the review and compilation of claims data to support cost effective program design decisions.
Manages overall quality and support of the Health Plans accreditation and Medicare Stars efforts.
Serves as subject matter expert in sales arena. Participates on pharmacy committees and develops relationships with key stakeholders.
Hires, trains, coaches, counsels, and evaluates the performance of direct reports.
a licensed pharmacist in applicable state; 8 years of experience in the PBM
clinical pharmacy initiatives, including 3 years of management experience in
leading clinical professionals and experience with call center operations; or
any combination of education and experience, which would provide an equivalent
possess broad understanding of key Medicare Part D Stars Metrics, Medication
therapy Management strategies, and quality standards and have an excellent
understanding of industry trends and competition. MBA or MHA preferred.
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