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Pharmacy Legal Contract Consultant - (Wallingford, CT) - PS20351 at Anthem, Inc. in Wallingford, Connecticut

Posted in Management 30+ days ago.

Type: Full-Time

Job Description:

Anthem, Inc. is the nation's leading health benefits company serving the needs of approximately 40 million medical members nationwide.

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.

Pharmacy Legal Contract Consultant - 

 PS20351Location: Wallingford, CT

The Pharmacy Legal Contract Consultant is responsible for enhancing the profitability of the pharmacy and medical segments by providing support for drug utilization opportunities via contracting negotiations and contract language development. This position works closely within a team environment to develop contract strategy and provisions as necessary to accommodate business needs. In addition, this position will collaborate regularly with the legal department and other areas to ensure alignment and compliance of contracting developments. This position will also oversee departmental processes to ensure compliance with established policies and procedures, and advise of operational improvements where necessary.

Primary duties may include, but are not limited to:

  • Supports all contracting efforts from initiation to execution, utilizing Anthem standard business practices

  • Oversees contract compliance and renewal

  • Collaborates with Anthem legal departments on contract-related issues

  • Works closely with data analytics to track contract performance and compliance

  • Performs data and financial analysis of drug categories, including utilization patterns, increasing trends, etc. to identify opportunities for new revenue

  • Assists in developing and maximizing the profitability of pharmaceutical manufacturer rebate contracts

  • Develops and provides reports and data feeds for internal and external use

  • Collaborates with external vendors on matters that impact department, including audits 

  • Assists and supports development of other service fee contracts with pharmaceutical manufacturers related to drugs or therapeutic classes for both the pharmacy and medical benefit.

  • Investigates and reports on issues

  • Supports and answers inquiries from both internal departments and external parties

  • Provides input and receives guidance on issues, challenges, and solutions related to formulary positions, rebate contracts, pharma programs and initiatives

  • Requires a BA/BS degree 

  • 3 years of legal contract management experience or any combination of education and experience, which would provide an equivalent background. 

Additional Requirements:

  • Prior experience with contract management, including knowledge of contract language required

  • Knowledge of legalese and impact to contractual language preferred but not required

  • Intermediate level of proficiency in Excel

  • Ability to work independently and part of a team 

  • Ability to collaborate with various departments to resolve issues in a timely manner

  • Experience and knowledge of pharmaceutical products, including familiarity with pharmaceutical and health care terminology, contract terminology and service agreements preferred but not required.

  • Juris Doctorate degree a plus but not required

Anthem, Inc. is ranked as one of America?s Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at An Equal Opportunity Employer/Disability/Veteran.