Clinical Account Manager – PBM
Capital Rx
Cloud
Client Manager, PharmD
AffirmedRx, a Public Benefit Corporation
full-time
Posted on:
Origin: • 🇺🇸 United States
Visit company websiteJob Level
Mid-LevelSenior
About the role
- Develop and implement clinical program strategies to optimize patient care outcomes, medication adherence, and overall member experience and plan performance
- Collaborate cross-functionally with internal stakeholders, including pharmacy, implementations, analytics, and account management teams, to align clinical initiatives with client needs and objectives
- Serve as the primary point of contact for clients regarding clinical program performance, outcomes, and strategic recommendations, fostering strong client relationships and trust
- Analyze data and trends to identify opportunities for program enhancement, cost savings, and quality improvement, leveraging insights to drive informed decision-making and innovation
- Remain informed on industry trends, regulatory changes, and best practices in clinical program management, incorporating relevant insights into program design and implementation
- Develop and deliver client presentations, reports, and updates on clinical program performance, demonstrating value proposition and ROI to key stakeholders
- Collaborate with clients to tailor clinical programs and initiatives to meet the unique needs of their member populations, ensuring alignment with organizational objectives and priorities
- Foster a culture of continuous improvement and excellence within the patient care advocate team, promoting professional development, knowledge sharing, and accountability for achieving program objectives
- Participate in client webinars, training sessions, and other educational forums, with occasional travel to client open enrollment events or benefit fairs as needed
- Provide ongoing support which may include, but not limited to, interpreting plan design, research and resolving phone calls, written and electronic inquiries, resolving claims, benefit, and enrollment issues
- Establish and develop relationships with key client decision-makers, understand their healthcare strategy and goals, determine how AffirmedRx can best help them achieve their desired results
- Manage and execute client contractual requirements and guarantees
- Retain clients
- Communicate drug information to clients and respond to plan-specific clinical inquiries; support resolution of member-specific inquiries
Requirements
- Minimum qualifications include a Bachelor’s Degree, PharmD or Clinical related required
- Relevant client management experience for at least five (5) years - pharmacy benefits management (PBM) experience preferred
- Proficient in Microsoft Office Suite with emphasis on Microsoft Excel
- Detail oriented, consultative, strong presenter, excellent communication & organization skills, ability to bring stakeholders together to identify solutions to challenges
- Client management skills, pharmacy benefit knowledge, effective and creative problem solver
- Ability to balance multiple complex projects simultaneously and prioritize and manage through change
- Exceptional written and verbal communication skills
- Flexible, highly organized, and able to shift priorities easily
- Ability to travel and present to small and large groups
- Willingness and ability to travel (20%-40%)
