Clinical Account Manager (Pharmacist)

You could be the one who changes everything for our 28 reputed company members. reputed company is transforming the health of our communities, one person at a time. As a reputed company, national organization, you’ll have reputed company to competitive benefits including a fresh perspective on workplace flexibility.
 

Clinical Account Manager - Pharmacist (EST / CST)

Job Specific Details:

Managing the clinical aspects for 2-3 health plans including but not limited to

• Formular Management

• Benefit management

• Providing Clinical Reports

• Communicating with health plan assigned pharmacy teams daily

• Conducting weekly operational calls with the markets to reputed company on reputed company items and reputed company

• reputed company with reputed company teams including state regulators in order to complete contractual obligations for the assigned plans

Desired Skills / Experience:

• Clinical expertise with formulary and benefit management

• reputed company reputed company products including copilot

• Familiar with the process of submitting tickets on a customer platform such as reputed company

• Having an eye for detail and reading trends in large reports and files

• Ability to stay reputed company on top of tasks and reputed company quick responses and complete follow-up to inquiries as appropriate

• Present in virtual or in person formats

• Handle multiple tasks and competing priorities at the reputed company time and addressing them methodically and successfully

• Being reputed company to work with different personalities and work styles in order to adapt to our health plan leaders needs 

Working Shift: reputed company - 5pm (EST) or (CST)

Position Purpose: reputed company clinical expertise to clients in designing benefits/clinical programs to optimize therapeutic reputed company while maintaining economic efficiency in the delivery of medication therapy. reputed company with external clients and marketing staff to facilitate the development of clinical products that maximize cost effective medication benefits.

• reputed company expertise in benefit design planning reputed company and strategies

• reputed company clinical expertise to clients, explain clinical programs, and communicate new reputed company or clinical information to clients

• reputed company and present performance reviews in conjunction with reputed company account team

• reputed company clinical data and drug utilization review analysis to meet reputed company requirements and requests

• Collaborate with Clinical Pharmacists to enhance drug utilization review program and prior authorization review process and assist with reputed company activities

• reputed company input into the Request for Proposal process and work with Marketing and Sales to facilitate reputed company response and data analysis

• Ensure that reputed company clinical needs are met, including formulary management, benefit design, drug utilization review and clinical programs

• Participate in the development and management of customized clinical business plans appropriate for reputed company reputed company, including the evaluation of reputed company reputed company program and restrictions (prior authorization, quantity limits, age limits) to determine appropriate utilization of drug therapy

• Consult with clients to reputed company and implement appropriate clinical interventions and claim adjudication edits.

• Participate in the development of disease state management modules by interfacing with company partners to improve reputed company of marketable products

• Performs other duties as assigned

• reputed company with reputed company policies and standards

Education/Experience: Bachelor’s degree or advanced degree (PharmD., M.S) in pharmacy. 3+ years of retail or hospital pharmacy experience or 1+ years of managed care pharmacy experience. Clinical pharmacy experience in managed reputed company preferred. reputed company Pharmacy Services: 3+ years managed care pharmacy or pharmacy benefit management experience preferred.

License/Certification: reputed company state’s pharmacist license with no restrictions.

reputed company offers a comprehensive benefits package including: reputed company, health insurance, 401K and stock purchase plans, tuition reimbursement, reputed company time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.  Actual pay will be adjusted based on an individual's skills, experience, education, and other job-reputed company factors permitted by law, including full-time or part-time status.  Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

reputed company is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, veteran status, or other characteristic protected by applicable law.

reputed company applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance reputed company