Clinical Account Manager

This is a fully remote position, open to applicants in Missouri.

📋 Description

• Deliver clinical expertise to clients in the creation of benefits and clinical programs aimed at optimizing therapeutic outcomes while ensuring economic efficiency.

• Collaborate with external clients and marketing teams to develop clinical products that enhance cost-effective medication benefits.

• Articulate clinical programs and convey new practice or clinical information to clients.

• Create and present performance evaluations with the client account team.

• Conduct clinical data and drug utilization review analyses.

• Partner with Clinical Pharmacists to improve drug utilization review and prior authorization review processes.

• Contribute to Requests for Proposal and collaborate with Marketing and Sales for timely responses and data analysis.

• Ensure the clinical needs of clients are addressed, including formulary management, benefit design, drug utilization review, and clinical programs.

• Develop and oversee tailored clinical business plans for each client.

• Consult with clients to design and implement clinical interventions and claim adjudication edits.

• Engage in the development of disease state management modules with company partners.

• Perform additional duties as assigned and adhere to policies and standards.

⛳️ Requirements

• Bachelor’s degree.

• Licensed qualification in pharmacy (PharmD., RPh.).

• Current state pharmacy license without restrictions.

• Over 3 years of experience in clinical pharmacy operations or case management experience in specialty pharmacy preferred.

• Direct experience working with payers and/or manufacturers preferred.

• Ability to offer clinical expertise in benefit design planning methods and strategies.

• Proficiency in conducting clinical data and drug utilization review analyses.

• Experience with formulary management, benefit design, drug utilization review, prior authorization, quantity limits, and age limits.

🏝️ Benefits

• Competitive pay.

• Health insurance.

• 401K plan.

• Stock purchase plans.

• Tuition reimbursement.

• Paid time off plus holidays.

• Flexible work arrangements, including remote, hybrid, field, or office work schedules.

• Additional forms of incentives may be included in total compensation.