Anthem PBM Pricing Strategy Dir (Pharmacy Informatics) - 127782 in Alexandria, Virginia

/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 willdrive 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.

PBM Pricing Strategy Dir (Pharmacy Informatics) - 127782

Location: Any US location. May telecommute.

Responsible for the analysis and development of the Pharmacy Benefits Manager (PBM) pricing and pharmacy strategies. Primary duties may include, but are not limited to:

  • Evaluates pricing position, assists with claims analysis and reconciliation, trend performance, complete analytic analyses to support pharmacy strategies, documents new optics, and ensures proper language is covered in request for proposals and contracts.

  • Collaborate with sales, account management, clinical and pharmacy leadership teams to explain pricing decisions, data analysis, and client/segment trends. Assists with developing and supporting key metrics and establishing performance measures for revenue maximization.

  • Assists with monitoring and evaluating revenue performing below thresholds and developing necessary tasks to bring performance in line with targets. Serves as key member of support team in planning for future revenue, trend, member expansion and growth capacity.

  • Develops and analyzes business performance reports (e.g. for claims data, provider data, utilization data); provides notations of performance deviations and anomalies

  • Develop automated procedures for monthly reporting used to drive pharmacy strategy and pricing decision making using Microsoft Excel and Access.

  • Clearly and concisely present pharmacy analyses both orally and in written format.

  • Produce comparative reports that detail performance relative to other markets.

  • Coordinate with different departments to obtain business requirements and program measurements.

  • Taking business issues and devising best way to develop appropriate diagnostic and/or tracking data that will translate business requirements into usable decision support tools.

  • Provide pharmacy trend/spend insights and diagnostics on specific drivers of trend

  • Develop automated procedures for monthly reporting using Microsoft Excel and Access.

    Requires a BA/BS in Finance or related field; 10 years of experience with a PBM, pricing, health care analytics; or any combination of education and experience, which would provide an equivalent background. Requires strong analytical background and proficiency withSQLorSASandExcelandAccess. Ability to create queries to conduct reporting in SQL or SAS and experience manipulating and processing large datasets.

Preferred Experience presenting, reporting, and evaluatingpharmacy andmedicalprograms .

/ Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2016 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at EOE. M/F/Disability/Veteran. /

Job Provider Network Management

Title: PBM Pricing Strategy Dir (Pharmacy Informatics) - 127782

Location: VA-Alexandria

Requisition ID: 127782