Senior Manager, Clinical Consulting – Plan Performance
Rightway
full-time
Posted on:
Location Type: Remote
Location: Florida • United States
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Salary
💰 $130,000 - $150,000 per year
Job Level
About the role
- Support the development and implementation of strategies to ensure client plan performance commitments are met.
- Act as a clinical SME to the client services team, providing operational guidance and day-to-day management support.
- Collaborate with internal leaders to align clinical consulting efforts with organizational goals.
- Deliver high-quality clinical consulting services to clients, ensuring evidence-based recommendations.
- Assist in the development and implementation of clinical programs to improve patient outcomes and support client strategies.
- Support clinical discussions with clients during sales, implementations, and ongoing operations including how benefit designs and clinical programs impact financial performance.
- Analyze pharmacy benefit plan performance metrics to identify trends and areas for improvement.
- Collaborate with internal teams to identify and execute performance improvement strategies and report on outcomes.
- Provide day-to-day support and guidance to the client services team in managing client relationships and performance.
- Build and maintain effective relationships with clients, internal teams, and external stakeholders.
- Serve as a resource to the client services team in discussing clinical strategies and performance improvements with clients.
- Participate in client meetings, presentations, and consultations to support ongoing client engagement.
- Act as a liaison between clients and internal teams, ensuring clear communication and alignment on goals.
- Support quality assurance efforts to ensure the accuracy and effectiveness of clinical consulting services.
- Stay updated on industry trends and best practices in pharmacy, PBM, and healthcare, ensuring continuous improvement.
Requirements
- PharmD or equivalent degree from an accredited institution.
- Active pharmacist license in good standing.
- Minimum of 7 years of experience in PBM, health plan, pharmacy clinical consulting, or a related field.
- Proven ability to manage projects and collaborate effectively with cross-functional teams.
- Strong analytical skills with the ability to interpret data and develop actionable insights.
- Excellent communication and interpersonal skills, with the ability to build relationships with clients and internal stakeholders.
- In-depth knowledge of pharmacy benefit management and clinical pharmacy practices.
- Experience with project management and process improvement methodologies is a plus.
- Managed Care Pharmacy Residency, MBA, MPH, or a related advanced degree is a plus.
- Previous experience working with health plans or PBMs is preferred.
Benefits
- Remote-based with occasional travel for client meetings, conferences, and professional development.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
pharmacy benefit managementclinical pharmacy practicesdata analysisproject managementprocess improvement methodologies
Soft Skills
communication skillsinterpersonal skillsanalytical skillscollaborationrelationship building
Certifications
PharmDactive pharmacist licenseManaged Care Pharmacy ResidencyMBAMPH