Clinical Account Manager

Provide clinical expertise to clients in designing benefits and clinical programs to optimize therapeutic outcomes while maintaining economic efficiency in the delivery of medication therapy. Interface with external clients and marketing staff to facilitate the development of clinical products that maximize cost-effective medication benefits.

This is a remote position, with some travel required approximately 3-4 times per year.

Responsibilities

• Provide expertise in benefit design planning methods and strategies.
• Provide clinical expertise to clients, explain clinical programs, and communicate new practice or clinical information to clients.
• Develop and present performance reviews in conjunction with the client account team.
• Perform clinical data and drug utilization review analysis to meet client requirements and requests.
• Collaborate with Clinical Pharmacists to enhance the drug utilization review program and prior authorization review process, and assist with related activities.
• Provide input into the Request for Proposal process and work with Marketing and Sales to facilitate timely response and data analysis.
• Ensure that client clinical needs are met, including formulary management, benefit design, drug utilization review, and clinical programs.
• Participate in the development and management of customized clinical business plans appropriate for each client, including the evaluation of current client programs and restrictions (prior authorization, quantity limits, age limits) to determine appropriate utilization of drug therapy.
• Consult with clients to develop and implement appropriate clinical interventions and claim adjudication edits.
• Participate in the development of disease state management modules by interfacing with company partners to improve the array of marketable products.
• Perform other duties as assigned.
• Comply with all policies and standards.

Requirements

• Bachelor’s degree and licensed qualification in pharmacy (PharmD., RPh).
• 3+ years of experience in Clinical pharmacy operations or case management experience in specialty pharmacy preferred.
• Direct experience interfacing with payers and/or manufacturers preferred.
• Current state’s pharmacy license with no restrictions.

Pay

$107,700.00 - $199,300.00 per year

Benefits

• Competitive pay, adjusted based on skills, experience, education, and other job-related factors.
• Health insurance.
• 401K and stock purchase plans.
• Tuition reimbursement.
• Paid time off plus holidays.
• Flexible approach to work with remote, hybrid, field, or office work schedules.
• Additional forms of incentives may be included in total compensation.

Benefits may be subject to program eligibility.