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Clinical Pharmacist job family, Oncology AIM Chicago 124731
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | Chicago, IL Chicago, Illinois |
About this job
Description
This position is located in Chicago, Illinois
This position may be filled at the Clinical Pharmacist or Clinical Pharmacist Senior level, based on the background and experience of the selected candidate.
Your Talent. Our Vision. At AIM Specialty Health (AIM), a proud member of the Anthem, Inc. family of companies, 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.
Position is responsible for providing expertise in support of the AIM Specialty Health Specialty Pharmacy and Oncology solutions. Primary duties include participating as a key member and critical leader of the Oncology Program Clinical team responsible for the integrity of the clinical content of the AIM oncology-related programs. This includes development of AIM Pathways and implementation of health plan medical policies as well as functioning as a clinical resource to other business areas in the organization.
Essential duties include, but are not limited to:
* Serve as a key contributor for the AIM Oncology Program and related Specialty Pharmacy management
* Serve as a subject matter expert to support the oncology solution team, both internally to support operations and as related to client activities
* Manage oncology treatment regimen cost calculations; monitor and report on cost trends Monitor environment regarding potential changes in all oncology-related medications under management, including compendia support, Medicare requirements, cost data changes, and FDA labeled indications
* Assist the Oncology clinical leadership in operationalizing changes to Medical Policy and Coverage for Specialty Drugs
* Assist with the development of project plans, process documents, and communicating project status
* Drive the development and implementation of AIM's clinical scripts in alignment with AIM's organizational goals
* Participate on the research team involved in AIM treatment Pathway development and implementation
* Serve as a member of multidisciplinary teams involved in quality improvement initiatives Collaborate to monitor and maintain clinical accuracy and appropriateness for cross- client and cross-product consistency
* Understand and support efforts to maintain regulatory and accreditation standards
* Ensure successful content delivery and timely issue resolution
* Monitor and analyze script performance reports in support of Clinical activities and initiatives
About AIM Specialty Health
AIM Specialty Health (AIM) is a leading specialty benefit management company that promotes appropriate, safe and affordable healthcare services. We are a member of the Anthem family of companies, which is recognized as one of the nation's leading health benefits companies.
AIM provides innovative clinical solutions that focus on today's most complex and costly tests and treatments in radiology, cardiology, medical and radiation oncology, specialty drugs, sleep medicine, musculoskeletal and pain management, genetic testing, palliative care, and other emerging clinical areas.
With evidence-based medicine, technology, people and processes, we support clinical appropriateness review, provider collaboration and member engagement on behalf of more than 50 health plans, 40% of the Fortune 50 Employers, and 43 million members.
Today, our team includes more than 1,100 associates and features more than 600 licensed and board-certified physicians, nurses, and other healthcare professionals who engage with more than 330,000 health care providers across the country. These healthcare providers access our solutions and specialized clinical expertise through our online ProviderPortal and experienced contact center-based teams that is enabled by our business platform.
Our pioneering spirit and dedication to improve health care continues to produce significant industry-first advancements, quality recognition achievements, and high satisfaction rates. AIM is certified by the National Committee for Quality Assurance (NCQA) and has received Full Accreditation for Health Utilization Management from the Utilization Review Accreditation Commission (URAC.)
We maintain offices in Chicago, Deerfield, Schaumburg and Westchester, IL, as well as Glendale, CA.
To learn more, visit www.aimspecialtyhealth.com.
Qualifications
The successful candidate will have:
* A current valid state license to practice pharmacy as an RPh
* Minimum of 3 years' related experience in specialty pharmacy management
* or any combination of education and experience, which would provide an equivalent background
* PharmD, preferred
* Previous experience with oncology and chemotherapy agents
* Be self-directed, highly motivated
* Previous experience in high-volume managed care operations (claims, customer service, enrollment and billing) desirable
* Strong analytical and problem solving skills
* Willingness to participate in cross-functional teams with effective action mentality
* Strong knowledge of UM systems performance and production activities
* Crisp written and verbal skills
* Strong listening and interpersonal communication ability
* Excellent computer skills, including experience with Word, Excel, Visio, and PowerPoint
* Ability to relate well across all levels within the organization
Anthem, Inc. is ranked as one of America's Most Admired Companies among health insurers by Fortune magazine and is a 2015 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.
This position is located in Chicago, Illinois
This position may be filled at the Clinical Pharmacist or Clinical Pharmacist Senior level, based on the background and experience of the selected candidate.
Your Talent. Our Vision. At AIM Specialty Health (AIM), a proud member of the Anthem, Inc. family of companies, 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.
Position is responsible for providing expertise in support of the AIM Specialty Health Specialty Pharmacy and Oncology solutions. Primary duties include participating as a key member and critical leader of the Oncology Program Clinical team responsible for the integrity of the clinical content of the AIM oncology-related programs. This includes development of AIM Pathways and implementation of health plan medical policies as well as functioning as a clinical resource to other business areas in the organization.
Essential duties include, but are not limited to:
* Serve as a key contributor for the AIM Oncology Program and related Specialty Pharmacy management
* Serve as a subject matter expert to support the oncology solution team, both internally to support operations and as related to client activities
* Manage oncology treatment regimen cost calculations; monitor and report on cost trends Monitor environment regarding potential changes in all oncology-related medications under management, including compendia support, Medicare requirements, cost data changes, and FDA labeled indications
* Assist the Oncology clinical leadership in operationalizing changes to Medical Policy and Coverage for Specialty Drugs
* Assist with the development of project plans, process documents, and communicating project status
* Drive the development and implementation of AIM's clinical scripts in alignment with AIM's organizational goals
* Participate on the research team involved in AIM treatment Pathway development and implementation
* Serve as a member of multidisciplinary teams involved in quality improvement initiatives Collaborate to monitor and maintain clinical accuracy and appropriateness for cross- client and cross-product consistency
* Understand and support efforts to maintain regulatory and accreditation standards
* Ensure successful content delivery and timely issue resolution
* Monitor and analyze script performance reports in support of Clinical activities and initiatives
About AIM Specialty Health
AIM Specialty Health (AIM) is a leading specialty benefit management company that promotes appropriate, safe and affordable healthcare services. We are a member of the Anthem family of companies, which is recognized as one of the nation's leading health benefits companies.
AIM provides innovative clinical solutions that focus on today's most complex and costly tests and treatments in radiology, cardiology, medical and radiation oncology, specialty drugs, sleep medicine, musculoskeletal and pain management, genetic testing, palliative care, and other emerging clinical areas.
With evidence-based medicine, technology, people and processes, we support clinical appropriateness review, provider collaboration and member engagement on behalf of more than 50 health plans, 40% of the Fortune 50 Employers, and 43 million members.
Today, our team includes more than 1,100 associates and features more than 600 licensed and board-certified physicians, nurses, and other healthcare professionals who engage with more than 330,000 health care providers across the country. These healthcare providers access our solutions and specialized clinical expertise through our online ProviderPortal and experienced contact center-based teams that is enabled by our business platform.
Our pioneering spirit and dedication to improve health care continues to produce significant industry-first advancements, quality recognition achievements, and high satisfaction rates. AIM is certified by the National Committee for Quality Assurance (NCQA) and has received Full Accreditation for Health Utilization Management from the Utilization Review Accreditation Commission (URAC.)
We maintain offices in Chicago, Deerfield, Schaumburg and Westchester, IL, as well as Glendale, CA.
To learn more, visit www.aimspecialtyhealth.com.
Qualifications
The successful candidate will have:
* A current valid state license to practice pharmacy as an RPh
* Minimum of 3 years' related experience in specialty pharmacy management
* or any combination of education and experience, which would provide an equivalent background
* PharmD, preferred
* Previous experience with oncology and chemotherapy agents
* Be self-directed, highly motivated
* Previous experience in high-volume managed care operations (claims, customer service, enrollment and billing) desirable
* Strong analytical and problem solving skills
* Willingness to participate in cross-functional teams with effective action mentality
* Strong knowledge of UM systems performance and production activities
* Crisp written and verbal skills
* Strong listening and interpersonal communication ability
* Excellent computer skills, including experience with Word, Excel, Visio, and PowerPoint
* Ability to relate well across all levels within the organization
Anthem, Inc. is ranked as one of America's Most Admired Companies among health insurers by Fortune magazine and is a 2015 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.