PBM Pricing Strategies Director

Company: Anthem, Inc.
Location: New Haven
Posted on: September 16, 2020

Job Description:

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PBM Pricing Strategies Director Location: New Haven, CT

Job Family: Provider Network Management

Req #: PS38737-Wallingford

Date Posted: Sep 11, 2020

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.

Location(s): Atlanta, GA; St. Louis, MO; Morristown, New Jersey; Chicago, IL; Minneapolis, MN and Wallingford, CT.

The PBM Pricing Strategies Director is responsible for overall management and strategic direction for Pharmacy Services pricing, Administrative Services Only (ASO) support functions, and auditing and monitoring the pharmacy rebate/discount programs.

Primary duties may include, but are not limited to:

•Reviews, analyzes, and reports several financial components of pharmacy financial performance.

•Provides decision support for business unit senior management teams business goals.

•Works with Client Managers, Health Plans and Sales team to ensure company is pricing competitively and to refine the pharmacy sales strategy.

•Analyze processes and develops best practices and process improvements related to pricing, guarantee monitoring, rebates/discount programs, and ASO passback activities.

•Manages the development of tools and processes to monitor discounts set up by vendor, rebate calculations, margin revenue, pricing accuracy and client retention.

•Monitors revenue performing below thresholds and develops necessary tasks to bring performance to or above targets.

•Hires, trains, coaches, counsels, and evaluates performance of direct reports.

Qualifications

•Requires a BA/BS in Finance or related field

•9+ years of experience with a Pharmacy Benefits Manager (PBM), financial reporting, pricing, rebates, business data analysis, and vendor management; or any combination of education and experience, which would provide an equivalent background.

•Business analysis, process improvement and/or project management experience is strongly preferred.

•Requires strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.

•High level of proficiency MS Office (Word, Excel, Outlook, PowerPoint) is required.

Anthem, Inc. is ranked as one of America’s Most AdmiredCompanies among health insurers by Fortune magazine and has been named a 2019 BestEmployers for Diversity by Forbes. To learn more about our company and apply, pleasevisit us at careers.antheminc.com. An Equal OpportunityEmployer/Disability/Veteran.

Please be advised that Anthem only accepts resumes from agencies that have a signed agreement with Anthem. Accordingly, Anthem is not obligated to pay referral fees to any agency that is not a party to an agreement with Anthem. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Anthem.

EEO is the Law Please use the links below to review statements of protection from discrimination under Federal law for job applicants and employees.

Anthem, Inc. is committed to helping individuals with disabilities participate in the workforce and ensuring equal opportunity to apply and compete for jobs. If you are an individual with a disability and require a reasonable accommodation to complete the application process, please email Human Resources at [email protected] for further assistance.

*WARNING : Please beware of phishing scams that solicit interviews or promote work-at-home opportunities, some of which may pose as legitimate companies. Please be advised that Anthem will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission here by selecting the ‘Rip-offs and Imposter Scams’ option. Anthem requires a completed online application for consideration of employment for any position.

Keywords: Anthem, Inc., New Haven , PBM Pricing Strategies Director, Other , New Haven, Connecticut