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PBM Pricing Strategy Analyst/Sr/Mgr (Pharmacy Underwriting & Pricing): Atlanta-GA, St. Louis-MO, Mason-OH, Virginia Beach, VA  - in Atlanta, GA at Anthem, Inc.

Date Posted: 6/24/2018

Job Snapshot

Job Description

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.



PBM Pricing Strategy Analyst/Sr/Mgr (Pharmacy Underwriting & Pricing): Atlanta-GA, St. Louis-MO, Mason-OH, Virginia Beach, VA - PS4189

The PBM Pricing Strategy Analyst 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.

The PBM Pricing Strategy Analyst Sr 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.

The PBM Pricing Strategy Anal Mgr is responsible for Pharmacy Services pricing and 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 pricing, guarantee monitoring, and ASO passback activities. Creates and implements metrics and supports performance measures to establish performance objectives for revenue maximization and pharmacy pricing. Creates tools and processes to monitor margin revenue, pricing accuracy, 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. Assists with developing pharmacy pricing training to underwriters and updates to underwriting guidelines. 

Should have experience with the following:
  • Pharmacy Pricing
  • Pharmacy Underwriting
  • Claims Analytics
  • Pharmacy (and or Healthcare) industry
  • Business Acumen


PBM Pricing Strategy Analyst: 
Requires a BA/BS in Finance or related field; 1+ years of experience with Pharmacy Benefits Manager (PBM), data analysis; or any combination of education and experience, which would provide an equivalent background.

PBM Pricing Strategy Analyst Sr: 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.

PBM Pricing Strategy Analyst Mgr: Requires a BA/BS in Finance or related field; 5+ years of experience with a Pharmacy Benefits Manage (PBM), pricing, data analysis; or any combination of education and experience, which would provide an equivalent background. MBA preferred.

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2017 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at antheminc.com/careers. EOE. M/F/Disability/Veteran.








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