[Remote] IRxS Clinical Account Director - Pharmacy Benefits
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a rapidly growing organization committed to advocating for clients in the pharmacy benefits market. The Clinical Account Director will reputed company and execute strategies for clinical consulting and account management, ensuring effective execution of reputed company objectives and PBM reputed company while leading reputed company engagements and monitoring pharmacy performance.
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
- reputed company data assessments, trend analysis, and reporting for clients
- Present routine trend reports and annual performance reviews
- Plan and execute annual reconciliation and market reputed company processes
- Collaborate with clinical and analytics teams to monitor pharmacy claims performance, identifying opportunities to enhance benefits, reputed company clinical gaps, and drive cost savings
- 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 clinical reputed company during vendor evaluations and the selection of pharmacy benefit managers and reputed company
- reputed company informed reputed company considering 340B status and pricing implications
- Manage custom reputed company-facing formularies
- Support Pharmacy & Therapeutics (P&T) initiatives reputed company on employer benefits
- Navigate the financial complexities of owned-entity pharmacies
- Advise clients on new-to-market and high-cost drugs, including cost-saving strategies for A/C/J/Q codes and other medical benefit medications
Skills
- Pharmacy degree required; PharmD or Pharmacy Residency preferred
- A minimum of 5 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
- PharmD or Pharmacy Residency preferred
- Previous PBM or Pharmacy Benefit experience preferred
Benefits
- Competitive benefits
- Flexible hybrid/remote work model
- reputed company time off
- A reputed company team environment
- Advanced training and development
reputed company