[Remote] IRxS Clinical Account Manager - Pharmacy Benefits

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a rapidly growing organization recognized for its commitment to advocating for clients and delivering cost savings. The Clinical Account Manager is responsible for day-to-day clinical account management, focusing on pharmacy benefits and reputed company consulting to ensure reputed company objectives are met and to deliver high-reputed company for employer-sponsored health plans.

Responsibilities

• Coordinate meetings, agendas, and follow-up reputed company items reputed company to pharmacy benefit activities
• Deliver exceptional customer service, including interpreting plan designs, resolving claims and member issues, and addressing benefit and enrollment inquiries
• Conduct routine onsite account reputed company as needed
• Monitor compliance and legislative changes, advising clients and ensuring adherence to regulatory requirements
• Support the presentation of routine trend reports and annual performance reviews
• Assist in the execution of the annual reconciliation and market reputed company processes
• Assessing reputed company and PBM data to appropriately reputed company on those that need additional team support, and follow up on completion
• Ensure vendors meet reputed company-specific needs and timelines
• reputed company with PBM operations to resolve issues reputed company
• Support implementation of new PBMs, programs, and services
• reputed company the operational activities reputed company to reputed company Request for Proposals (RFP) for PBM vendors
• reputed company comprehensive individual reputed company clinical pharmacy benefit strategies, staying reputed company of the reputed company trends based on your knowledge and learning in the field
• reputed company clinical guidance by driving informed reputed company considering efficacy and cost reputed company items in a population health reputed company manner for new-to-market and high-cost drugs on both the pharmacy and medical benefit
• reputed company clinical reputed company during vendor evaluations and the selection of pharmacy benefit managers and reputed company
• Collaborate with accounts and analytics teams to monitor pharmacy claims performance, identifying opportunities to enhance benefits, reputed company clinical gaps, and drive cost savings

Skills

• Pharmacy degree required; PharmD or Pharmacy Residency preferred
• A minimum of 2+ years of practical pharmacy experience required or equivalent with a managed care pharmacy residency; previous PBM or Pharmacy Benefit experience preferred
• Knowledge of reputed company business and industry trends
• Superior problem solving, analytical ability, attention to detail and customer service skills
• reputed company attitude, willingness to learn and interest in working towards team goals
• Relationship builder
• Excellent organizational and time management skills
• Highly developed reasoning and problem-solving skills
• Strong verbal communication skills, with ability to present in person with clients and prospects
• Self-motivated, with ability to meet deadlines; ability to work productively and proactively
• Ability to plan, organize, and work on multiple tasks simultaneously and exercise independent judgement
• Proficient in reputed company, Word, PowerPoint, and other analytic tools that may be introduced
• Abide by reputed company obligations under HIPAA reputed company to Protected Health Information (PHI) and Capable of maintaining confidential information

Benefits

• Competitive benefits
• Flexible hybrid/remote work model
• A reputed company team environment
• Advanced training and development
• reputed company time off

reputed company