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Clinical Account Manager

MedOne Pharmacy Benefit Solutions

1 Positions

ID: 2117

Posted On 12/01/2021

Job Overview

Position Description:

  • Coordinates and manages the clinical relationships between MedOne Pharmacy Benefit Solutions and our clients
  • Assists the Sales and Account Management departments in promoting clinical programs to support the needs of current and future clients and/or strategic partners
  • Works in collaboration with Account Executives to support in client presentations, with a focus on optimizing the drug mix, clinical improvement recommendations and cost containment strategies
  • Responsible for review and signoff on specialty drug and appeal reviews for assigned clients
  • Responsible for communicating specialty drug approvals, with an emphasis on the appropriateness and necessity of therapy, duration, and cost of treatment, and expected and actualized patient outcomes for assigned clients
  • Responsible for communicating patient and financial impact and outcomes for adverse determinations for assigned clients
  • Provides exceptional clinical consultation and clinical account management with a focus on attempting to exceed client expectations to maximize client retention
  • Effectively communicates formulary and clinical program changes to client
  • Assists in managing and conducting the clinical review/prior authorization process, including communicating clinical rationale, formulary therapeutic alternatives, and appeals process to members
  • Performs duties related to drug utilization review including concurrent, retrospective, and prospective components
  • Supports Member Advocate and Account Management teams with phone calls from patients requiring pharmacist intervention and in-person meetings with clients
  • Interfaces with physicians, pharmacists, and pharmacy providers on behalf of patients and clients
  • Creates and maintains, as subject matter expert, clinical content for new and existing MedOne programs

Position Requirements:

  • Minimum of a bachelor’s degree in Pharmacy or PharmD with current unrestricted licensure as a RPh in the State of Iowa or the ability to gain reciprocity within 4 months of employment.
  • At least 2 years’ experience in a client facing or consultative role within the managed care or PBM setting
  • Must be a strong communicator with the ability to translate clinical information into a manner appropriate for both clinical and non-clinical audiences
  • High degree of emphasis on problem-solving skills, including identifying and accepting a challenging situation and creating and implementing a solution
  • Strong organizational, verbal and written communication skills with emphasis on attention to detail
  • Proficient in drug literature and clinical trial evaluation
  • Ability to work with a team
  • Strong working knowledge of Microsoft Office products including Teams, Word, PowerPoint and Excel
  • Knowledge of the PBM industry, formulary management, pharmacy claims and managed care principles and practices
  • Residency experience is highly preferred

Work Hours:

  • Full-time salaried position, approximately of 40 hours per week with flexible scheduling options

Primary Contact

1659977850123

Jolene Kohlenberg

HR Manager,

5632584482

Phone

Phone

Phone

Fax

jkohlenberg@medone-rx.com

Email

True

True

True

Job Details

Categories

Clerical/Office Administration
Customer Service
Health Care
Management/Executive
Pharmacy

Location

Dubuque, IA

Shift

First Shift

Job Type

Employee

Full/Part

Full Time

Benefits

Health Insurance
Dental Insurance
Vision Insurance
Life Insurance
Retirement Plan
Paid Vacation
Paid Holidays
Tuition Reimbursement


Qualifications

Education

Bachelors

Experience

2-5 Years

Company ID

1152

Job REQ #

# Positions

1

Start Date

20211201

End Date

20220228

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0

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MedOne Pharmacy Benefit Solutions

About the Company

Company Information

MedOne is a full-service pharmacy benefit manager (PBM), serving clients and members nationwide. With a fully transparent, pass-through model, MedOne helps people conveniently access the most appropriate prescriptions at the most affordable price.  MedOne's corporate office is located in Dubuque, IA.

Why Join the MedOne Movement?

To help people conveniently access the most appropriate prescription treatment at the most affordable price.

Our Core Values:

  1. Prioritize your well-being
  2. Act as a MedOne team
  3. Care for Members with Compassion
  4. Strive to exceed client expectations
  5. Do the right things for the right reasons
  6. Bring your best
  7. Challenge the status quo

Benefits:

  • Competitive Salary
  • Medical, Dental, Vision, Disability and Life Insurance for full-time employees
  • Matching 401K Plan
  • Paid Time Off
  • Paid Holidays and Birthdays
  • Gym Reimbursement
  • Tuition Reimbursement
  • Career Growth Opportunities

MedOne is an equal opportunity employer.

Job Offers are contingent on passing a background check and drug screen.