Clinical Account Executive

Role Overview

• Recommend new clinical strategies to improve the health of our groups, lower trend and promote savings by analyzing and interpreting prescription claims data
• Provide oversight of clinical programs
• Will be accountable for developing and presenting strategies to enhance pharmacy benefit savings for employers
• Clinical liaison for internal Specialty including account management, sales, underwriting, pricing, finance, and leadership
• Develops clinical materials and presentations for sales and marketing
• Provide clinical support to Specialty Solutions team including directly interacting with brokers, clients, patients, providers, and manufacturers
• Client-facing and direct interaction with PBM leadership teams, RX vendor Specialty, brokers and clients
• Meet with brokers and clients to discuss clinical trends, review relevant pharmacy data, and provide recommendations/supportive rationale for clinical management strategies
• Support the VP of Clinical Strategies & Solution in the development of new offerings for employer groups
• Support growth of pharmacy products, as well as assist in developing a robust clinical management playbook for client management
• Translate and decipher how current pharmacy/healthcare trends will affect our group’s clinical strategies
• Provide drug information and act as the clinical consultant/subject management expert on the account management team
• Proactively make recommendations for clients to stay ahead of the curve regarding drug pipeline activity (new generics, new brands, new clinical rules and specialty)

Requirements

• Current U.S. Pharmacist License
• 3+ years of pharmacy consulting experience at a PBM or a Health Plan
• 3+ years of client facing experience preferred
• Deep knowledge of pharmaceutical products/pipeline, PBM industry, PBM clinical programs, pharmacy claims and managed care
• Strong communication skills, both written and oral presentation skills
• Ability to manage expectations and timelines internally and externally at all levels of an organization
• Strong clinical knowledge, particularly with specialty medications
• Ability to prioritize and handle multiple projects and clients with dynamic and shifting timelines
• Lead/oversee multiple, unique clients from a clinical perspective
• Proficiency in using Microsoft applications
• Quick study, high energy, self-starter, approachable, and collaborative
• Influential and impactful presentation and communication skills
• Strong business acumen
• Flexibility, keen to improve organizational effectiveness
• Excellent presentation and client relationship skills needed in order to facilitate upsell of clinical programs and retain clients
• Strong analytical and problem-solving skills
• Strong focus on book of business client satisfaction and client retention results
• Demonstrated ability managing projects, utilizing proven project management processes
• Ability to work cross-functionally to proactively communicate and to resolve issues with the highest sense of urgency
• Must have the ability to work on multiple tasks, prioritize, resolve complex issues, and have strong project management skills
• Ability to learn multiple internal reporting and analytic tools for client management
• Ability to travel overnight up to 20% (80% during peak season, Feb-early May; much less at other times of the year)

Benefits

• Medical
• Telemedicine
• Dental
• Vision
• Life, AD&D, Disability
• 401(k)
• Flexible Time-off