Clinical Account Manager

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
• Responsible for adherence to the client Code of Conduct, including reporting of noncompliance

Requirements

• 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

Core Competencies

Demonstrates expertise in pharmacy management, client relationship building, and data analysis to drive client satisfaction and retention. Proficient in interpreting clinical trends and providing actionable recommendations based on pharmacy claims data.

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