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PBM Pricing Strategies Director-PS38737 Location: Chicago,
Job Family: Provider Network Management
Req #: PS38737-Chicago-Chicago
Date Posted: Sep 3, 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
•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
•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
•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
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.
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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
firstname.lastname@example.org for further assistance.
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