DisclosedRx ยท 1 day ago
Clinical Pharmacist - Client Success (MUST HAVE 3+ YEARS EXPERIENCE IN PBM)
DisclosedRx is seeking a Clinical Pharmacist to serve as a strategic clinical advisor within the Pharmacy Benefit Management (PBM) team. The role involves providing pharmacy expertise to enhance client relationships, optimizing prescription benefit performance, and supporting plan utilization analysis and clinical program development.
Hospital & Health Care
Responsibilities
Serve as a resource for clients through our account executive team, offering clinical guidance
Partner with the account executive to create a narrative providing clinical insights to pharmacy spend to deliver clear customized presentations to client executives and stakeholders, distilling complex data into actionable insights
Stay up-to-date on pharmacy benefit trends and regulatory developments, drug pipeline and help clients proactively navigate changes
Bring client voice and perspective to our formulary management processes, including pipeline reviews, policy creation, and P & T committee participation
Lead or co-own the development of client clinical reporting, including quarterly summaries, plan performance insights, and NQTL compliance documentation
Work with account executive to respond to urgent or nuanced clinical inquiries with professionalism and clarity, ensuring clients receive timely, thorough guidance
Contribute to training initiatives and serve as a clinical resource for internal teams
Collaborate to help improve workflows and assist with implementing new programs or strategies as needed
Conduct and evaluate prior authorization requests and support escalation pathways as needed
Represent clinical and client priorities during internal discussions on product development, client onboarding, or service improvement
Qualification
Required
Active Pharmacist license in good standing in at least one U.S. state
At least 3+ years of experience in pharmacy benefit management, managed care, or a clinical role with payer-facing responsibilities
Comfort presenting to executive leadership and broker partners
Demonstrated ability to interpret pharmacy claims data and discuss utilization metrics with non-clinical stakeholders including c-suite presentations
Proficiency in Microsoft Office tools, particularly Excel and PowerPoint
Strong communication, time management, and analytical skills
Preferred
Familiarity with PBM analytics tools or platforms (e.g., Xevant, Artemis, internal BI dashboards)
Experience participating in formulary or P&T committee processes
Understanding of specialty drug management, biosimilar strategies, and clinical cost containment approaches
Company
DisclosedRx
DisclosedRx provides the best pharmacy benefits for your employees at the lowest total net cost.
Funding
Current Stage
Growth StageRecent News
2025-06-03
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