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).
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