Support/back up the CAE, and Clinical Coordinator responsibilities
Assist with escalated member/Client issue requests
Develop and implement a clinical plan that meets the goals and objectives of the client and is in alignment with corporate business strategy
Analyze client’s financial and utilization data to identify opportunities for improving health care and/or controlling drug and overall health care costs
Actively participate in developing the clinical strategy for client
Consultant on Plan/Benefit design recommendations
Participate in development and delivery of annual reviews to client
Consultant for formulary management and administration
Other duties as assigned
Requirements
MBA or equivalent, and Marketing experience are a plus.
A minimum of a bachelor’s degree in Pharmacy is required.
Current licensure as a Registered Pharmacist in the State of home office or the ability to gain reciprocity within 4 months is required
Knowledge of the PBM industry, PBM clinical programs, pharmacy claims and managed care principals and practices is highly desired
Proficiency in MS Word, Excel and PowerPoint including use of tables, charts and figures is desirable
Participate in, adhere to, and support compliance program objectives
The ability to consistently interact cooperatively and respectfully with other employees
Benefits
Top of the industry benefits for Health, Dental, and Vision insurance
20 days paid time off
4 weeks paid parental leave
9 paid holidays
401K company match of up to 5%
No vesting requirement
Adoption Assistance Program
Flexible Spending Account
Educational Assistance Plan and Professional Membership assistance