Clinical Account Executive II

About the role

The Clinical Account Executive (CAE) II position is based in the State of South Carolina, preferably in Columbia, SC. This role is exempt and pays between $128,974 and $237,313 annually.

Responsibilities

• Serves as team leader for specific account(s), providing guidance, coordinating tasks, and delegating tasks among junior team members when necessary to ensure service levels meet client expectations.
• Maintains contractual Service Level Agreements (SLAs) related to clinical services for managed account(s) and reports to leadership if risks are observed.
• Provides recommendations to assigned clients that align with the clients' goals of achieving lower net costs and high clinical quality.
• Strategically recommends benefit design and Preferred Drug List (PDL) analysis and suggestions, provision of clinical drug information, utilization management criteria development, Pharmacy & Therapeutics (P&T) support and participation, recommendations for rational drug PDL positioning, online system edits and restrictions, ongoing clinical product evaluations, and recommendations regarding client pharmacy benefit utilization and performance trends.
• Offers clinical and Medicaid consultative services in accordance with contracted services.
• Acts as an integral part of designing, developing, and driving the clinical components of the assigned account team's strategic and financial goals.
• Identifies and promotes MedImpact's evidence-based interventions and communication programs to clients, providing documentation of recommendations for clinically appropriate and financially beneficial clinical initiatives (e.g., rebate enhancement, lower net cost, generic programs, QA programs).
• Recommends clinically appropriate PDL changes, considering the lowest net cost after rebates, market shifts, and utilization.
• Coordinates clinical utilization analyses and presentations to clients, ensuring timely and accurate review of plan data according to policy and offering appropriate intervention recommendations.
• Coordinates the clinical support of Preferred Drug Lists during plan sponsor implementation.
• Participates in quarterly state P&T meetings as stipulated by client contracts.

Qualifications

• PharmD and 5+ years’ experience or equivalent combination of education and experience, and 3 years' of SME in respective areas.
• Registered Pharmacist license in good standing and the ability to obtain licensure in specific state as necessary within 6 months.
• Knowledge of Microsoft Office Suite and experience with at least one business intelligent tool (IBM Cognos or Tableau preferred).
• Analytical skills required to perform drug cost expenditure impact analysis.
• Exceptional communication skills and interpersonal skills to interface with clients and internal team members.