Clinical Account Manager (HYBRID)

Clinical Consulting Solutions; New York (NY); On-site; USD 95,000 - 130,000; Full time

Job summary

Clinical Consulting Solutions in New York, NY is seeking an ambitious Clinical Account Manager (Hybrid) to lead client relationships and oversight of account management. You will analyze pharmacy data to generate actionable insights, support contract renewals, and collaborate with cross-functional teams to improve processes.

Ideal candidates have a PharmD or B.S. Pharmacy, 3+ years in PBM or related health-plan/pharmacy benefits roles, and strong Excel skills.

Qualifications

• Bachelor of Pharmacy (B.S. Pharmacy) or Doctor of Pharmacy (PharmD) from an accredited program.
• 3+ years in pharmacy-related health plan, managed care, or PBM preferred; residency acceptable.
• Proficient in Microsoft Office, especially Excel.
• Ability to manage multiple complex projects simultaneously.
• Strong written and verbal communication skills.
• Willingness to travel and present to groups.

Responsibilities

• Develop and maintain relationships with key client decision-makers.
• Oversee account management to ensure client satisfaction and retention.
• Analyze pharmacy data to identify trends and insights for clients.
• Collaborate with the account team to deliver client service excellence.
• Support contract renewals and oversee contractual requirements.
• Create ad-hoc pharmacy benefit reports as requested.
• Explain formulary and clinical programs to clients and respond to inquiries.
• Participate in after-hours meetings or weekend requirements as needed.

Skills

Excel/Data Analysis

Client Communication

Project Management

Time Management

Detail Orientation

Travel Availability

Education

PharmD or B.S. Pharmacy

Tools

Microsoft Excel

Microsoft Office

Job description

Clinical Account Manager (HYBRID)

Clinical Consulting Solutions New York, New York, United States

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