Anthem, Inc. Pharmacist Clinical/Specialty Programs in Fresno, 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 benefits companies and a Fortune Top 50 Company.
Pharmacist Clinical/Specialty Programs - Remote (PS40430)
Summary: Responsibilities involve ownership around strategy, design, development and maintenance of drug lists in accordance with company policies and industry best practice. Responsible for ideation and build and oversight of specialty initiatives on the Medical and Pharmacy platform.
Primary duties may include, but are not limited to:
Determinations and maintenance of specialty drug lists
Ideation, development and deployment of large scale clinical initiatives for multiple lines of business.
Develop and maintain policies, procedures, workflow related to specialty drug coverage
Must be able to research and synthesize detailed clinical data related to pharmaceuticals.
Must be able to manage program implementations, including regulatory requirements.
Other areas of responsibilities include specialty benefit design strategies, managing business plans for clients, strengthening the specialty value proposition and presenting to internal and external clients as requested specific populations.
Maintain clinical relationship with pharmacy vendors.
Requires a registered pharmacist; minimum 2 years of pharmacy experience including knowledge of specialty pharmacy - medical, pharmacy; or any combination of education and experience, which would provide an equivalent background.
Current unrestricted state license to practice pharmacy as a RPH, required.
Health Plan or PBM experience required.
Experience with pharmacy data and analytics preferred.
Experience with medical claims and medical data preferred.
Strong presentation skills preferred.
Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2019 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran.