Clinical Account Manager (HYBRID)

Clinical Consulting Solutions; Denver (CO); On-site; USD 90,000 - 130,000; Full time

Job summary

UNITAS is seeking a strategic, client-focused professional to lead account management for clients in the PBM space. You will build relationships with key decision-makers, oversee the account management team, and analyze pharmacy data to deliver actionable insights that support clinical strategies and contract renewals.

You will collaborate with clients to interpret formulary programs, present data-driven recommendations, and ensure high client satisfaction with strong cross-functional teamwork.

Qualifications

• Bachelor of Pharmacy (B.S. Pharmacy) or Doctor of Pharmacy (PharmD) from an accredited institution.
• Relevant PBM/health plan experience preferred; or completion of managed care residency.
• Proficient in Microsoft Office, especially Excel.
• Experience working with large datasets and analyzing raw data in Excel.
• Excellent written and verbal communication; strong organizational skills.

Responsibilities

• Establish and develop relationships with key client decision-makers to understand their healthcare strategy and goals.
• Oversee client account management with focus on satisfaction, trend management, and retention.
• Collaborate with account team to provide exceptional member and client service.
• Support issue resolution at the client level and drive contract renewals.
• Analyze pharmacy claims data to identify clinical trends and insights for clients.
• Present findings and recommendations to clients with supportive rationale.
• Ensure adherence to required contractual requirements and client Code of Conduct.

Skills

Excel proficiency

Data analysis

Communication skills

Travel ability

Education

B.S. Pharmacy or PharmD

Job description

About this position

UNITAS provides clinical staffing and consulting solutions, including contract staff augmentation, permanent talent recruiting, consulting, and clinical coaching. Our extensive experience includes Pharmacy Benefit Management, Long-Term Care, Retail Pharmacy, Hospital, and Leadership, enabling us to connect the best clinical talent with outstanding companies. We know clinicians because we are clinicians!

* This position is being recruited on behalf of a client in the Pharmacy Benefit Manager (PBM) industry. Company name disclosed upon advancing in the process. *

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, you'll 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
• 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%