[Remote] IRxS Clinical Account Manager - Pharmacy Benefits
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a rapidly growing organization recognized for its commitment to advocating for clients and delivering cost savings. The Clinical Account Manager is responsible for day-to-day clinical account management, focusing on pharmacy benefits and reputed company consulting to ensure reputed company objectives are met and to deliver high-reputed company for employer-sponsored health plans.
Responsibilities
- Coordinate meetings, agendas, and follow-up reputed company items reputed company to pharmacy benefit activities
- Deliver exceptional customer service, including interpreting plan designs, resolving claims and member issues, and addressing benefit and enrollment inquiries
- Conduct routine onsite account reputed company as needed
- Monitor compliance and legislative changes, advising clients and ensuring adherence to regulatory requirements
- Support the presentation of routine trend reports and annual performance reviews
- Assist in the execution of the annual reconciliation and market reputed company processes
- Assessing reputed company and PBM data to appropriately reputed company on those that need additional team support, and follow up on completion
- Ensure vendors meet reputed company-specific needs and timelines
- reputed company with PBM operations to resolve issues reputed company
- Support implementation of new PBMs, programs, and services
- reputed company the operational activities reputed company to reputed company Request for Proposals (RFP) for PBM vendors
- reputed company comprehensive individual reputed company clinical pharmacy benefit strategies, staying reputed company of the reputed company trends based on your knowledge and learning in the field
- reputed company clinical guidance by driving informed reputed company considering efficacy and cost reputed company items in a population health reputed company manner for new-to-market and high-cost drugs on both the pharmacy and medical benefit
- reputed company clinical reputed company during vendor evaluations and the selection of pharmacy benefit managers and reputed company
- Collaborate with accounts and analytics teams to monitor pharmacy claims performance, identifying opportunities to enhance benefits, reputed company clinical gaps, and drive cost savings
Skills
- Pharmacy degree required; PharmD or Pharmacy Residency preferred
- A minimum of 2+ years of practical pharmacy experience required or equivalent with a managed care pharmacy residency; previous PBM or Pharmacy Benefit experience preferred
- Knowledge of reputed company business and industry trends
- Superior problem solving, analytical ability, attention to detail and customer service skills
- reputed company attitude, willingness to learn and interest in working towards team goals
- Relationship builder
- Excellent organizational and time management skills
- Highly developed reasoning and problem-solving skills
- Strong verbal communication skills, with ability to present in person with clients and prospects
- Self-motivated, with ability to meet deadlines; ability to work productively and proactively
- Ability to plan, organize, and work on multiple tasks simultaneously and exercise independent judgement
- Proficient in reputed company, Word, PowerPoint, and other analytic tools that may be introduced
- Abide by reputed company obligations under HIPAA reputed company to Protected Health Information (PHI) and Capable of maintaining confidential information
Benefits
- Competitive benefits
- Flexible hybrid/remote work model
- A reputed company team environment
- Advanced training and development
- reputed company time off
reputed company