Anthem, Inc. Staff VP Medicare Pharmacy in Costa Mesa, California
SHIFT: Day Job
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.
Job description Inserted
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.
Responsible for serving as a strategic partner for the Medicare business leaders, shared services leaders, the pharmacy organization, PBMs, CMS and state regulators. Drives and manages the pharmacy strategy for Medicare enterprise wide. Responsible for pharmacy account management for IngenioRx.
Primary duties may include but are not limited to:
Leads and develops multi-year market strategies and ensures that Pharmacy goals and objectives are aligned with the Medicare business.
Participates in and provides subject matter expertise in the annual Medicare Part D Bid development including formulary, benefit, network and cost of care considerations.
Drives organizational efficiency as well as improved cost of care and supports new membership growth.
Partners with business and network leaders to create an efficient provider network using pharmacy data, education, pharmacy reporting and analytic tools.
Manages the pharmacy aspects of provider collaboration efforts to drive network realignment.
Acts as the primary Medicare subject matter expert in the design of the PBM model to improve pricing position, financial performance, optimize control and minimize risk. Develops and leads enterprise and local/regional cost of care initiatives.
Leads multi-functional pharmacy clinical team to ensure pharmacy STARs performance goals and the programs that drive cost of care savings are met.
Partners with sales, marketing and account management teams to develop strategic marketing plans to drive improved membership growth and retention and participates in their execution.
Ensures the Pharmacy organization is promoting the delivery of quality, cost-effective pharmacy services to health plan members, such as formulary development/management strategies, development of therapeutic and dosing guidelines, drug utilization review, disease management, physician profiling, rebate programs, and pharmacy network strategy and compliance.
Leads and participates on committees and develops relationships with key stakeholders.
Hires, trains, coaches, counsels, and evaluates performance of direct reports.
A minimum of 8 years of experience in pharmacy benefit management or health plan pharmacy services including
Prior management experience: or any combination of education and/or experience, which would provide an equivalent background.
Requires an active unrestricted state license to practice as an RPh.
Doctor of Pharmacy
Experience working with a Health plan
Applicable to Colorado Applicants Only
Annual Salary Range*: $159,520- $199,400
Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
- The hourly or salary range is the range Anthem in good faith believes is the range of possible compensation for this role at the time of this posting. The Company may ultimately pay more or less than the posted range. This range is only applicable for jobs to be performed in Colorado. This range may be modified in the future. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.
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. The health of our associates and communities is a top priority for Anthem. We require all new candidates to become vaccinated against Covid-19. All offers of employment are conditioned on completion of a background check, including COVID-19 vaccination verification. If you are not vaccinated, your offer will be rescinded unless you provide – and Anthem approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Anthem is able to reasonably accommodate. Anthem will also follow all relevant federal, state and local laws. Anthem, Inc. has been named as a Fortune 100 Best Companies to Work For®, is ranked as one of the 2020 World’s Most Admired Companies among health insurers by Fortune magazine, and a 2020 America’s Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at careers.antheminc.com. Anthem is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. Applicants who require accommodation to participate in the job application process may contact email@example.com for assistance.