Clinical Account Executive, RPh

This is a fully remote position, open to applicants in Alabama, +19 more locations.

📋 Description

• Create and convey clinical recommendations, educational resources, and formulary-related communications to physicians, clients, members, consultants, and other stakeholders.

• Aid in formulary management by assessing medications, reviewing clinical data, and contributing to formulary and clinical policy suggestions.

• Assist in the creation, execution, and maintenance of pharmacy and medical benefit management initiatives.

• Collaborate with clients to relay clinical program outcomes, performance, and suggestions.

• Assess clinical literature, treatment protocols, and new therapies for their effectiveness, safety, and value.

• Examine utilization patterns and clinical information to pinpoint opportunities for enhanced medication use, cost savings, and improved member outcomes.

• Conduct clinical prior authorization assessments, coverage decisions, and retrospective medication utilization evaluations.

• Work alongside operations, customer service, account management, and pharmacy teams to investigate and resolve specific member clinical issues.

• Support client meetings and respond to pharmacy-related inquiries from Account Managers and Account Executives.

• Act as a clinical subject matter expert on specialty medications, formulary management, and utilization management programs.

• Stay informed about industry trends, regulatory guidelines, and advancements in specialty pharmacy.

• Present information on clinical, pharmacoeconomic, and specialty drug management to clients, consultants, and healthcare professionals.

⛳️ Requirements

• A graduate of an ACPE Accredited School of Pharmacy with a B.S. Pharmacy or PharmD degree is required.

• Must possess a current, unrestricted license as a Registered Pharmacist in the state of residence, or have the ability to obtain reciprocity within 4 months, depending on state laws or client contracts.

• Board of Pharmacy Certification is preferred in Pharmacotherapy, Ambulatory Care, or Oncology Care.

• A minimum of 3-5 years of clinical or managed care experience, or completion of a Clinical/Managed Care Pharmacy Residency is required.

• Experience in pharmacy and medical specialty benefits and clinical account management is required.

• Experience with P&T Committees or formulary development is necessary.

• Proficiency in Microsoft Excel, PowerPoint, and Word is required.

• Ability to participate in, adhere to, and support compliance program objectives.

• Must have the ability to interact consistently in a cooperative and respectful manner with colleagues.

🏝️ Benefits

• Comprehensive health, dental, and vision insurance benefits.

• 20 days of paid time off.

• 4 weeks of paid parental leave.

• 9 paid holidays.

• 401K plan with a company match of up to 5% and no vesting requirement.

• Adoption Assistance Program.

• Flexible Spending Account.

• Educational Assistance Plan and support for Professional Memberships.

• Referral Bonus Program offering up to $750!