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Capital Rx · 5 months ago

Clinical Account Manager - PBM

Denver, NY

Full-time

Onsite

Mid Level

$140K/yr - $160K/yr

3+ years exp

Judi Health is an enterprise health technology company focused on providing innovative solutions for employers and health plans. The Clinical Account Manager at Capital Rx will lead account management efforts, ensuring client satisfaction and retention while analyzing pharmacy data to deliver actionable insights and develop clinical strategies.

Hospital & Health Care

Responsibilities

Establish and develop relationships with key client decision-makers, understand their healthcare strategy and goals, determine how Capital Rx can best help them achieve their desired results

Provide oversight of client account management team with a focus on member and client satisfaction, trend management, and client retention

Partner with account team members to provide best-in-class member and client service

Support member issue resolution at client-level

Identify and contribute to process improvement efforts within the team

Responsible for management and execution of client contractual requirements

Responsible for client retention including execution of contract renewals

Analyze and interpret pharmacy claims data to identify clinical trends and insights for individual clients

Meet with clients to discuss clinical trends, review relevant pharmacy data, and provide recommendations with supportive rationale for clinical management strategies

Interpret current pharmacy and healthcare trends and provide proactive recommendations

Incorporate treatment & practice guidelines, clinical education, and pharmacy pipeline details into client presentations

Comprehend and effectively explain formulary and clinical programs to clients, including member experience

Communicate drug information to clients and respond to plan-specific clinical inquiries

Analyze and evaluate pharmacy benefit reporting and create ad-hoc reports as requested

Build and manage strong relationships with third-parties who also service our clients

Support general business needs and operations, as required

Certain times of year may require meeting participation, testing, claims review, or other requirements outside of standard business hours, including weekends

Responsible for adherence to the Capital Rx Code of Conduct including reporting of noncompliance

Qualification

Pharmacy degreePharmacy benefits managementAccount managementMicrosoft ExcelData analysisCommunication skillsOrganizational skillsAttention to detail

Required

Bachelor of Pharmacy (B.S. Pharmacy) or Doctor of Pharmacy (PharmD) degree from an accredited institution, with record of strong academic performance

Proficient in Microsoft Office Suite with emphasis on Microsoft Excel

Experience working with large datasets and analyzing raw data in Excel

Ability to balance multiple complex projects simultaneously

Exceptional written and verbal communication skills

Flexible, highly organized, and able to shift priorities easily

Attention to detail & commitment to delivering high quality work product

Ability to travel and present to small and large groups

Travel estimated not to exceed 25%

Preferred

Relevant experience for at least three (3) years in pharmacy - health plan, managed care, or pharmacy benefits management (PBM) experience preferred; or completion of managed care residency

Prior account management experience preferred