Clinical Account Executive
Crumdale Specialty, Paoli, CO, United States
Position Summary
The Clinical Account Executive (CAE) Pharmacist provides pharmacy strategy, financial and clinical consulting for employers across all pharmacy solutions. In this role the CAE will use their deep understanding of the pharmacy/healthcare landscape and pipeline, as well as strong clinical, analytical, financial, and business skills to develop and present a comprehensive strategy that aligns and supports the client’s strategic goals for a clinical care and financial perspective. This role must have proven experience providing clinical recommendations to self-funded employer groups. The successful individual will have a strong understanding of the pharmaceutical products/pipeline, PBM marketplace, PBM clinical programs, pharmacy claims and managed care.
Responsibilities
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)
Qualifications
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 skillsStrong 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)
Education
PharmD
MBA a plus
Benefits
Medical
Telemedicine
Dental
Vision
Life, AD&D, Disability
401(k)
Flexible Time-off
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The Clinical Account Executive (CAE) Pharmacist provides pharmacy strategy, financial and clinical consulting for employers across all pharmacy solutions. In this role the CAE will use their deep understanding of the pharmacy/healthcare landscape and pipeline, as well as strong clinical, analytical, financial, and business skills to develop and present a comprehensive strategy that aligns and supports the client’s strategic goals for a clinical care and financial perspective. This role must have proven experience providing clinical recommendations to self-funded employer groups. The successful individual will have a strong understanding of the pharmaceutical products/pipeline, PBM marketplace, PBM clinical programs, pharmacy claims and managed care.
Responsibilities
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)
Qualifications
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 skillsStrong 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)
Education
PharmD
MBA a plus
Benefits
Medical
Telemedicine
Dental
Vision
Life, AD&D, Disability
401(k)
Flexible Time-off
#J-18808-Ljbffr