Clinical Account Manager (HYBRID)

Unitas; New York (NY); Vor Ort; USD 90.000 - 130.000; Vollzeit

Zusammenfassung

UNITAS, a provider of clinical staffing and consulting solutions in the PBM space, seeks a strategic, client-focused professional to lead account management and develop strong relationships with healthcare decision-makers.

You’ll oversee client satisfaction, retention, and trend management while analyzing pharmacy data to provide actionable insights and support contract renewals. Qualified candidates hold a PharmD or B.S. Pharmacy and have PBM experience and strong Excel skills.

Qualifikationen

• Bachelor of Pharmacy (B.S. Pharmacy) or Doctor of Pharmacy (PharmD) from an accredited institution.
• 3+ years experience in pharmacy-benefit management, health plan, or managed care preferred.
• Proficient in Excel; able to analyze large datasets and derive insights.
• Strong written and verbal communication; able to manage multiple projects.

Aufgaben

• Establish and develop relationships with key client decision-makers to understand healthcare strategy and goals.
• Oversee client account management with focus on satisfaction, retention, and trend management.
• Partner with account team to provide best-in-class member and client service.
• Support issue resolution at the client level and drive process improvements.
• Manage client contractual requirements and renewal execution.
• Analyze pharmacy claims data to identify clinical trends and provide recommendations.
• Present insights to clients and incorporate guidelines into clinical strategies.

Kenntnisse

Analytical skills

Communication

Multi-project management

Travel willingness

Ausbildung

Pharmacy degree (B.S. Pharmacy or PharmD)

Tools

Excel

Microsoft Office Suite

Jobbeschreibung

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