Anthem Inc. Jobs

Job Information

Anthem, Inc. Mgr Pharmacy Clinical Ops in Mason, Ohio


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 benefits companies and a Fortune Top 50 Company.

Mgr Pharmacy Clinical Ops

Summary: Responsible for managing and implementing clinical pharmacy programs to promote quality and cost-effective drug utilization

Primary duties may include, but are not limited to:

  • Assists in the development of new clinical products

  • Manages clinical pharmacy operations and staff to ensure objectives and deliverables are met

  • Manages the Pharmacist Consultant team members

  • Oversees departmental processes, policies and procedures, training, and communication

  • Reports and analyzes clinical outreach productivity and trends and ensures achievement of department goals and objectives

  • Hires, trains, coaches, counsels, and evaluates performance of direct reports


  • Requires at least a Bachelor’s degree in Pharmacy or a PharmD; 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).

  • PharmD preferred.

  • Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the United States, and 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.

  • Leadership with direct reports experience preferred.

  • Medicare STARS experience strongly preferred.

  • Requires strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.

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.

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 An Equal Opportunity Employer/Disability/Veteran. Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions.

REQNUMBER: PS47802-Mason-Mason