Anthem, Inc. Pharmacist Clinical in Iselin, New Jersey
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.
Pharmacist Clinical - Mason, OH (PS41016)
*Locations preferred: Mason, OH; Louisville, KY; Atlanta, OH; St. Louis, OH; Virginia Beach, Va; Wallingford, CT; Chicago, IL; Iselin, NJ; Minnetonka, MN and Las Vegas, NV
Summary: Responsible for providing clinical pharmacy support to Medicare providers. Duties and responsibilities will be focused on improving STARS measures through close provider collaboration with providers engaged in value based care arrangements.
Primary duties may include, but are not limited to:
Support network physicians by analyzing organizational and practice-level reports and identifying opportunities to:
Improve pharmacy quality (STARS, HEDIS, etc)
Reduce pharmacy cost
During practice-level discussions, act as a subject matter expert in pharmacy related clinical measures for value based care agreements
Attend external provider meetings to communicate practice-level Medicare pharmacy goals and opportunities for reaching goals
Educate internal matrix provider partners about pharmacy programs and goals
Field questions from providers related to Pharmacy programs (benefits, reporting tools, CMS, formulary, etc.)
Participate in development and testing of pharmacy provider tools with the lens of a clinical user
Close feedback loop between Anthem Pharmacy and Providers
Stay up to date with STAR & HEDIS measures
Provide education to the external network providers as requested/needed in support of Clinical pharmacy measures
Requires a registered pharmacist; minimum 2 years of managed care pharmacy (PBM) experience or residency in lieu of work experience; or any combination of education and experience, which would provide an equivalent background.
Must possess an active unrestricted state license to practice pharmacy as a Registered Pharmacist (RPh).
Requires strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
Experience influencing providers prescribing practices
Prior experience with developing programs impacting providers strongly preferred.
Position will be office based with occasional travel required (approx. 25-50%).
Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at antheminc.com/careers.An Equal Opportunity Employer/Disability/Veteran.