UNITAS
We know clinicians because we are clinicians!
Clinical Account Manager
Location
Wisconsin
Posted
132 days ago
Salary
$140K - $160K / year
Bachelor Degree3 yrs expEnglish
Job Description
• 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
Job Requirements
- 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%
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