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Anthem, Inc. Pharmacist Clinical/Pharmacist Clinical Sr in Savannah, Georgia

Description

SHIFT: Day Job

SCHEDULE: Full-time

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.

Pharmacist Clinical or Pharmacist Clinical Sr. Summary: Responsible for managing STARS performance for the pharmacy department adherence strategy. Managing programs and initiatives to further the pharmacy STAR ratings to maintain quality performance, standards and effectiveness. The primary role is support and management of Anthem’s Medicare/STARs program

Primary duties may include, but are not limited to:

  • Oversight and management of Part D Star Rating Programs

  • Develops and executes strategies and programs to improve connectivity with Providers regarding medication prescribing.

  • Develops strategies to improve member adherence, support formulary compliance, and close evidence based gaps in care in value-based care

  • Serves as a clinical resource to other pharmacists, physicians and non-clinical staff.

Qualifications

Qualifications:

Pharmacist Clinical

  • Requires a registered pharmacist; 2 years of managed care pharmacy (PBM) experience as a Clinical Pharmacist or residency in lieu of retail work experience; or any combination of education and experience, which would provide an equivalent background

  • An active, unrestricted license to practice as an RPh required

  • Experience managing Medicare Part D STARs programs including design, strategy and implementation strongly preferred

  • Project management experience strongly preferred

  • Experience in the healthcare industry provider contracts preferred

  • Experience with developing and implementing pharmacy quality & cost measures for providers engaged in value-based care agreements

  • Providing clinical consulting services to network providers

  • Performing drug utilization analyses

Pharmacist Clinical Sr.

  • Requires a registered pharmacist; PharmD; minimum of 4 years of managed care pharmacy (PBM) experience as a Clinical Pharmacist in lieu of retail work experience; or any combination of education and experience, which would provide an equivalent background. Must possess an active, unrestricted license to practice as an RPh required

  • An active, unrestricted license to practice as an RPh required

  • Experience managing Medicare Part D STARs programs including design, strategy and implementation strongly preferred

  • Project management experience strongly preferred

  • Experience in the healthcare industry provider contracts preferred

  • Experience with developing and implementing pharmacy quality & cost measures for providers engaged in value based care agreements

  • Providing clinical consulting services to network providers

  • Performing drug utilization analyses

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.

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.

REQNUMBER: PS52391-Georgia

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