Clinical Account Manager (HYBRID)

Job summary

Lead strategic relationships with healthcare decision-makers to ensure client satisfaction, retention, and the execution of contractual requirements. Analyze pharmacy claims data to provide actionable clinical insights and recommendations for management strategies.

Job details

Position Summary: This open position is seeking a strategic, client-focused professional to lead and develop strong relationships with key decision-makers in the healthcare space. In this role, you'll oversee account management, ensuring client satisfaction, retention, and trend management, while analyzing pharmacy data to provide actionable insights. You’ll collaborate with clients to develop clinical strategies, execute contract renewals, and contribute to process improvements. Position Responsibilities: Establish and develop relationships with key client decision-makers to understand their healthcare strategy and goals 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 client Code of Conduct, including reporting of noncompliance Required Qualifications: Bachelor of Pharmacy (B.S. Pharmacy) or Doctor of Pharmacy (PharmD) degree from an accredited institution 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 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%

What you’ll do

Lead strategic relationships with healthcare decision-makers to ensure client satisfaction, retention, and the execution of contractual requirements. Analyze pharmacy claims data to provide actionable clinical insights and recommendations for management strategies.

Requirements

Requires a Bachelor of Pharmacy or PharmD degree with at least three years of experience in pharmacy health plans, managed care, or PBM. Proficiency in Microsoft Excel for analyzing large datasets and strong communication skills for client presentations are essential.

Listed skills

• Project management · Preferred

Other relevant skills

Identified from the job description. Confirm important requirements above.

• Account Management
• Pharmacy Data Analysis
• Clinical Strategy Development
• Client Relationship Management
• Contract Renewal
• Microsoft Excel
• Pharmacy Benefit Management
• Clinical Trend Analysis
• Formulary Management
• Written Communication
• Verbal Communication
• Project Management
• Data Interpretation
• Presentation Skills
• Healthcare Strategy
• Process Improvement
• Ad Hoc Reporting
• Benefits Management
• Management
• Customer Service
• Clinic Management Systems
• Managed Care
• Microsoft Office
• Operations
• Presentations
• Verbal Communication Skills
• Detail Oriented

Job areas

• Healthcare
• Management & Leadership
• Data & Analytics
• Customer Service & Support
• Consulting
• Clinical Account Manager
• Clinical Supervisor / Manager
• Health Service Managers
• Medical and Health Services Managers