Anthem Business Analyst II - 122165 in Denison, Texas
/Your Talent. Our Vision./AtAnthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater 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.
_Business Analyst II - 122165_ _ _ This is a work at home opportunity.
Support Clinical Pharmacy staff with implementation & maintenance of clinical programs, utilization management strategy and formularies. Translates clinical business needs into operational requirements.
Primary duties may include, but are not limited to: •Analyzes clinical business needs to determine optimal means of meeting those needs. •Determines specific clinical business operational requirements to address specific clinical business needs. •Works with PBM and internal stakeholders to ensure requirements are incorporated. •Acts as liaison with clinical team to ensure accurate solutions are created and implemented correctly.
Duties include: •Maintain clinical formulary/utilization management (prior authorization, step therapy & quantity limits ) in web based formulary management tool. •Responsible for maintenance and publication of formulary booklets and website search tools. •Support communication of clincial programs/ utilization management strategy /formulary changes to members and providers as well as internal stakeholders. •Support quality assurance processes of clinical programs/formularies/utilization management strategy •Submission of appropriate IT, BTRD, and other documentation as needed to support clincial programs/formulary/ utilization management strategy implementation and communications •Other duties as needed
- Requires a BS/BA degree,
- 3-5 years related business analysis or operational experience, or any combination of education and experience, which would provide an equivalent background.
- Pharmacy background or certified pharmacy technician preferred
- Experienced in using Microsoft Excel required.
/Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2014 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./
Job Business Support
Title: Business Analyst II - 122165
Requisition ID: 122165