Clinical Account Manager
4 hours ago
We are seeking a highly skilled Clinical Account Manager to join our team at MedOne Pharmacy Benefit Solutions. As a Clinical Account Manager, you will be responsible for managing and fostering clinical relationships between MedOne and our clients.
About the Role:- Manage and foster clinical relationships between MedOne and our clients.
- Collaborate with Sales and Account Management to promote clinical programs, meeting the needs of current and potential clients.
- Partner with Account Executives to optimize drug mix, offer clinical improvement recommendations, and implement cost-containment strategies.
- Review and approve specialty drug requests and appeal reviews for assigned clients.
- Communicate specialty drug approvals, emphasizing therapy appropriateness, treatment duration, cost, and patient outcomes.
- Report on patient and financial impacts related to adverse determinations for assigned clients.
- Deliver exceptional clinical consultation and account management services, aiming to exceed client expectations and support retention.
- Manage the clinical review and prior authorization processes, explaining clinical rationale, formulary alternatives, and appeals to members.
- Conduct drug utilization reviews (concurrent, retrospective, and prospective) to optimize patient care.
- Support Member Advocate and Account Management teams with pharmacist-related interventions and client-facing meetings.
- Serve as a clinical liaison between physicians, pharmacists, and pharmacy providers.
- Develop and maintain clinical content for MedOne programs as the subject matter expert.
- Bachelor's degree in Pharmacy or PharmD with an active, unrestricted RPh license in Iowa (or ability to obtain reciprocity within 4 months).
- At least 2 years of experience in a client-facing or consultative role within managed care or PBM.
- Strong communication skills with the ability to convey clinical information clearly to both clinical and non-clinical audiences.
- Problem-solving skills, with a track record of developing and implementing effective solutions.
- Attention to detail and organizational prowess in both verbal and written communication.
- Proficiency in drug literature and clinical trial analysis.
- Ability to work collaboratively within a team.
- Strong working knowledge of Microsoft Office products (Teams, Word, PowerPoint, Excel).
- Solid understanding of PBM, formulary management, pharmacy claims, and managed care principles.
- Residency experience is a plus.
- Some travel may be required.
At MedOne, we believe that a healthy team is a happy team. We offer a collaborative work environment, competitive benefits, and opportunities for growth—all while helping to make a difference in people's lives.
Our top core value is to prioritize your well-being. To support you in living this value, we offer:
- Competitive salary and bonuses that reward your performance.
- Comprehensive health, dental, and vision insurance + additional benefits.
- 401(k) with company match to secure your future.
- Generous paid time off and holidays.
- Opportunities for professional growth and development.
- A vibrant and collaborative work culture.
Location: Offices in either Dubuque, IA, or Kansas City, MO, or the position can be remote within the United States.
Employment Type: Full-Time, Salaried
Reports to: Vice President, Clinical Services
How to Apply: If you're enthusiastic about helping others and eager to join a dynamic team, we'd love to hear from you. Apply now and take the first step toward a rewarding career at MedOne
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