Description
Description
SHIFT: Day Job
SCHEDULE: Full-time
Be part of an extraordinary team
We are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?
Build the Possibilities. Make an extraordinary impact.
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.
NOTE LOCATION: This position is work from home with the applicant's physical location being within a reasonable commute to any Anthem office in the US.
Manager II Pharm Benefit Admin (Manager, Pharmacy Operations)
Responsible for oversight and management of Clinical Pharmacy Operations Drug List Division.
How you will make an impact:
Primary duties may include, but are not limited to:
+ Provides leadership in the rollout of new and improved drug list benefit support and quality processes.
+ Oversees tracking, validation, testing, and submission to claims processor to ensure coding and configuration are within specifications and business requirements.
+ Manages issue resolution with the team and assesses member impact. Manages resource capacity, prioritization and deploys appropriate quality controls and procedures. Assesses and communicates risk/impact and assists in prioritization of production issues.
+ Supports Sales, Marketing, Product, and Clinical teams.
+ Collaborates with business leaders to identify processing improvements.
+ Serves as a mentor and provides subject matter expertise for other areas of the company as well as within the department.
+ Accountable for deliverables of a third party or vendor.
+ Manages multiple functions requiring unique knowledge or has significant fiscal accountability over and above routine people/equipment costs.
+ Develops and manages annual operating budget.
+ Audits to monitor efficiency and compliance with policies and prepare specialized reports.
+ Hires, trains, coaches, counsels, and evaluates the performance of direct reports.
Qualifications
Minimum Requirements:
Requires a BA/BS in a related field and a minimum of 8 years management experience in a complex business and systems environment with understanding of healthcare managed care domain knowledge; or any combination of education and experience, which would provide an equivalent background.
Preferred Skills, Capabilities and Experiences:
+ Pharmacy, Pharmacy Tech, or Pharmacist background strongly preferred
+ Preferred background and understanding with cross coordination across benefits, clinical, networks, and account management to support business requirements
+ Competency in managing projects
+ Proficiency in Microsoft Office to include Word, Excel, Outlook, and Teams.
Additional Information:
+ Remote position
+ 10% Travel
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. The health of our associates and communities is a top priority for Anthem. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide - and Anthem approves - a valid religious or medical explanation as to why you are not able to get vaccinated that Anthem is able to reasonably accommodate. Anthem will also follow all relevant federal, state, and local laws. Anthem, Inc. has been named as a Fortune Great Place To Work in 2021, is ranked as one of the 2021 World's Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion. To learn more about our company and apply, please visit us at careers.antheminc.com. Anthem is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact for assistance.
REQNUMBER: PS68046-Virginia
