Clinical Account Manager overseeing clinical services and client relationships in pharmacy benefits at Abarca. Delivering strategic plans and improving healthcare costs and service levels.
Responsibilities
Manage the clinical and client relationship component of your assigned accounts and clients’ benefits, ensuring the highest level of service.
Deliver custom clinical strategic plan designed to address clinical defined objectives.
Recommend and oversee the implementation of appropriate Clinical Program & Services.
Responsible for analyzing financial and utilization data to identify opportunities for improving care, controlling drug trend and overall healthcare costs.
Evaluate Plan Design management opportunities, including formulary composition and management, utilization management, drug coverages, and prior authorization.
Lead the annual clinical review, providing a comprehensive assessment of the drug benefit program from both a clinical and financial vantage point.
Actively participates in Abarca P&T Committee meetings and client P&T meetings as per client contract, including provision of clinical material and expertise related to therapeutic class reviews, drug monographs, and drug information.
Support the Business Development in RFPs, demos, and development of proposals related to clinical services.
Support the tech division with clinical expertise.
Other projects or duties as needed.
Requirements
Doctoral Degree in Pharmacy is required.
Current and Active Pharmacy License is required.
3+ years of clinical experience in pharmacy or managed care setting or completion of a clinical or managed care residency.
Experience with dashboard tools, such as Power BI and Excel tools.
Experience with handling multiple projects at once in collaboration with internal and external stakeholders.
Excellent verbal and written communication skills.
This position requires availability to work in a specified time zone or working schedule, accommodating the business needs of our clients and team members.
This position may require availability for on-call hours, including evenings, weekends, and holidays, to promptly address emergent issues or provide necessary support as dictated by operational demands (if applicable).
Benefits
We are proud to offer a flexible hybrid work model which will require certain on-site workdays (Puerto Rico Location Only).
Junior Key Account Manager at Fler overseeing key accounts in Italy's FMCG market. Combining commercial responsibilities with trade marketing execution to expand retail partnerships.
Personal Lines Account Manager providing client support in business and personal insurance at an independent insurance agency. Ensuring high client retention in the Personal Lines Department with varied responsibilities.
CPR Territory Manager responsible for promoting CPR technologies in South Germany. Collaborating with clinical and sales teams to enhance market acceptance and support implementation efforts.
Director of Partnerships at Create responsible for building and scaling partnerships across influencers and brands. Managing partnership lifecycle from sourcing to execution for growth and brand impact.
Business Banking Relationship Manager at Eastern Bank developing relationships with small businesses. Responsible for selling bank products and managing customer portfolios effectively.
Service Key Account Manager ensuring customer satisfaction and retention while managing automotive service relationships with stakeholders in Madrid. Engage key stakeholders to enhance service loyalty.
Account Manager at Ancora, helping clients with enrollment in educational programs and maintaining relationships. Managing communications with prospective students and ensuring admissions requirements are met.
Assistant Partenariats et développement for CITIA supporting media and private partnerships. Engaging in marketing operations during the Festival of Annecy.
Senior Territory Manager leading the scale‑up of women’s health products in India. Responsible for engaging stakeholders and enhancing field operations for national programs.