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