Hybrid Clinical Account Manager

at Abarca Health

• Job title: Clinical Account Manager
• Job type: Full Time
• Experience level: Mid level, Senior
• Salary: Not specified
• Degree requirement: Postgraduate Degree
• Location requirements: Hybrid, Puerto Rico

About the role

• 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).