Description
SHIFT: Day Job
SCHEDULE: Full-time
Location: Remote
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.
Responsible for developing and implementing clinical pharmacy programs to promote quality and cost-effective drug utilization.
How you will make an impact:
Manages associates developing and configuring prior authorization decision trees in the Prior Authorization workflow tool
Manages associates' quality assurance of prior authorization decision trees within the Prior Authorization workflow tool
Provides clinical consulting services to internal partners.
Assists in implementing clinical programs within the prior authorization space
Ensures achievement of department goals and objectives.
Hires, trains, coaches, counsels, and evaluates performance of direct reports.
Qualifications
Requirements:
Requires at least a BA/BS in Pharmacy or a PharmD
Minimum of 5 years of experience in managed care, authorization, or related pharmacy experience; or any combination of education and experience, which would provide an equivalent background.
Must possess an active unrestricted state license or certification to practice pharmacy within the scope of practice in a state or territory of the United States (Rph).
Preferred Skills, Capabilities and Experiences:
PharmD preferred.
Prior Authorization experience strongly preferred.
Previous Management experience strongly preferred.
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 If you are not vaccinated, your offer will be rescinded unless you provide - and Anthem approves - a valid religious or medical explanation as to why you are not able to get vaccinated that Anthem is able to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 ability@icareerhelp.com for assistance.
REQNUMBER: PS71785
