Remote PBM Clinical Account Manager

Position Summary:
This open position is seeking a strategic, client-focused professional to lead and develop strong relationships with key decision-makers in the healthcare space. In this role, youll oversee account management, ensuring client satisfaction, retention, and trend management, while analyzing pharmacy data to provide actionable insights. You’ll collaborate with clients to develop clinical strategies, execute contract renewals, and contribute to process improvements.

Position Responsibilities:
Establish and develop relationships with key client decision-makers to understand their healthcare strategy and goals
Provide oversight of client account management team with a focus on member and client satisfaction, trend management, and client retention
Partner with account team members to provide best-in-class member and client service
Support member issue resolution at client-level
Identify and contribute to process improvement efforts within the team
Responsible for management and execution of client contractual requirements
Responsible for client retention including execution of contract renewals
Analyze and interpret pharmacy claims data to identify clinical trends and insights for individual clients
Meet with clients to discuss clinical trends, review relevant pharmacy data, and provide recommendations with supportive rationale for clinical management strategies
Interpret current pharmacy and healthcare trends and provide proactive recommendations
Incorporate treatment & practice guidelines, clinical education, and pharmacy pipeline details into client presentations
Comprehend and effectively explain formulary and clinical programs to clients, including member experience
Communicate drug information to clients and respond to plan-specific clinical inquiries
Analyze and evaluate pharmacy benefit reporting and create ad-hoc reports as requested
Build and manage strong relationships with third-parties who also service our clients
Support general business needs and operations, as required
Certain times of year may require meeting participation, testing, claims review, or other requirements outside of standard business hours, including weekends.
Responsible for adherence to the client Code of Conduct, including reporting of noncompliance
Required Qualifications:
Bachelor of Pharmacy (B.S. Pharmacy) or Doctor of Pharmacy (PharmD) degree from an accredited institution
Relevant experience for at least three (3) years in pharmacy - health plan, managed care, or pharmacy benefits management (PBM) experience preferred; or completion of managed care residency
Prior account management experience preferred
Proficient in Microsoft Office Suite with emphasis on Microsoft Excel
Experience working with large datasets and analyzing raw data in Excel
Ability to balance multiple complex projects simultaneously
Exceptional written and verbal communication skills
Flexible, highly organized, and able to shift priorities easily
Attention to detail & commitment to delivering high quality work product
Ability to travel and present to small and large groups
Travel estimated not to exceed 25%