Clinical Account Manager

Responsibilities

• Provide expertise in benefit design planning methods and strategies
• Develop and present performance reviews in collaboration with the client account team
• Analyze clinical data and drug utilization review processes to meet client requirements
• Collaborate with Clinical Pharmacists to enhance drug utilization review and prior authorization processes
• Consult with clients to implement appropriate clinical interventions and claim adjudication edits
• Participate in the development of disease state management modules with partners
• Ensure client clinical needs are met, including formulary management and clinical programs

Qualifications

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

Benefits

• Comprehensive health insurance package
• 401(k) and stock purchase plans
• Tuition reimbursement opportunities
• Paid time off plus holidays
• Flexible work schedules, including remote options