Clinical Account Manager

Position Overview:The Clinical Account Manager will support all clinical aspects of the business by working directly with patients, medical professionals, plan sponsors and the other members of the MedOne team under the direction of the Director of Clinical Account Management. About MedOne:MedOne is a full-service pharmacy benefit manager (PBM), serving clients and members nationwide. With a fully transparent, pass-through model, MedOne helps people conveniently access the most appropriate prescriptions at the most affordable price. What You Will Do at MedOne:Coordinates and manages the clinical relationships between MedOne Pharmacy Benefit Solutions and our clients Assists the Sales and Account Management departments in promoting clinical programs to support the needs of current and future clients and/or strategic partnersWorks in collaboration with Account Executives to support client presentations, with a focus on optimizing the drug mix, clinical improvement recommendations and cost containment strategies Responsible for review and signoff on specialty drug and appeal reviews for assigned clients Responsible for communicating specialty drug approvals, with an emphasis on the appropriateness and necessity of therapy, duration, and cost of treatment, and expected and actualized patient outcomes for assigned clients Responsible for communicating patient and financial impact and outcomes for adverse determinations for assigned clients Provides exceptional clinical consultation and clinical account management with a focus on attempting to exceed client expectations to maximize client retention Effectively communicates formulary and clinical program changes to client Assists in managing and conducting the clinical review/prior authorization process, including communicating clinical rationale, formulary therapeutic alternatives, and appeals process to members Performs duties related to drug utilization review including concurrent, retrospective, and prospective components Supports Member Experience and Account Management teams with phone calls from patients requiring pharmacist intervention and in-person meetings with clients Interfaces with physicians, pharmacists, and pharmacy providers on behalf of patients and clients Creates and maintains, as subject matter expert, clinical content for new and existing MedOne programsAssists the Director of Account Management, in addition to other MedOne team members with general business operations related to clinical functionsPortrays the company in a positive image Abides by all rules, regulations, and policies of the employer Suports in furthering the profession of pharmacy through participation in the MedOne Student Internship Program What you will bring to MedOne:Minimum of a Bachelor’s Degree in Pharmacy or PharmD with current unrestricted licensure as a pharmacistAt least 2 years’ experience in a client facing or consultative role within the managed care or PBM setting Must be a strong communicator with the ability to translate clinical information into a manner appropriate for both clinical and non-clinical audiences High degree of emphasis on problem-solving skills, including identifying and accepting a challenging situation and creating and implementing a solution Strong organizational, verbal and written communication skills with emphasis on attention to detail Proficient in drug literature and clinical trial evaluation Ability to work with a team Strong working knowledge of Microsoft Office products including Teams, Word, PowerPoint and ExcelKnowledge of the PBM industry, formulary management, pharmacy claims and managed care principles and practices Residency experience is highly preferred Why Join MedOne?Competitive salary and bonuses that reward your performanceComprehensive health, dental, and vision insurance401(k) with company match to secure your futureGenerous paid time off and holidaysOpportunities for professional growth and developmentA vibrant and collaborative work culture