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PBM Pricing Strategy Analyst Sr.

Location: St. Louis, MO
Job Family: Provider Network Management
Req #: PS41018-St%2E%20Louis-St%2E%20Louis
Date Posted: Apr 24, 2021

Description

SHIFT: Day Job

SCHEDULE: Full-time

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 Analyst Senior is  responsible for Administrative Services Only (ASO) support functions. 

Primary duties may include, but are not limited to:

•Implements new processes, process improvements, and best practices related to guarantee monitoring and ASO passback activities. 

•Creates and implements metrics and supports performance measures to establish performance objectives for revenue maximization. 

•Creates tools and processes to monitor margin revenue and client retention. 

•Monitors revenue performing below thresholds and implements necessary tasks to bring performance to or above targets. Implements pricing in the system related to margin. 

•Supports the Pharmacy Services team in implementing future revenue, member expansion and growth capacity. 

Qualifications

 
  • Requires a BA/BS in Finance or related field
  • 3+ years of experience with Pharmacy Benefits Manager (PBM), data analysis; or any combination of education and experience, which would provide an equivalent background.
  • Proficiency and understanding of underwriting processes, healthcare products, and contracts.
  • 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 Admired Companies among health insurers by Fortune magazine and has been named a 2019 Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran.

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