Anthem, Inc. Pharmacist Program Mgr - Remote in Modesto, 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.
Location: Remote – individuals living in the state of Kentucky preferred.
The Pharmacist Program Manager is responsible for serving as the primary contact for a specific pharmacy program, which may be assigned by geographic location, business unit, or functional area.
Primary duties may include, but are not limited to:
Oversees the MCO's responsibilities related to pharmacy benefits
Manages both internal and external stakeholder communications for assigned area.
Ensures the proper reaction to and resolution of issues concerning the pharmacy benefit program.
Coordinates with State partner to provide input in the review of new drugs to market, changes to State’s Preferred Drug List and prior authorization criteria for pharmacy benefits
Participating in the Pharmacy and Therapeutics Committee, the Drug Utilization Review Committee, the Drug Utilization Review Board, and any other committee or board as requested by State partner.
2 years of managed care pharmacy experience or experience with pharmacy benefit management (PBM) including knowledge of current health care and managed care pharmacy practices; or any combination of education and experience, which would provide an equivalent background.
Must have a valid, current state of Kentucky pharmacy license to practice pharmacy as a RPH is required.
Must be available for local travel within Kentucky to attend required state meetings.
Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2018 Diversity Inc 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.