Clinical Accounts Manager - PBM Solutions & Growth

MedOne Pharmacy Benefit Solutions; Dubuque (IA); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Competitive salary and bonuses

Health, dental, and vision insurance

401(k) with company match

Generous paid time off and holidays

Professional growth opportunities

Collaborative work culture

Job summary

MedOne Pharmacy Benefit Solutions seeks a Clinical Account Manager to support clinical aspects of the business by working with patients, medical professionals, plan sponsors, and the MedOne team under the Director of Clinical Account Management.

The role focuses on coordinating clinical relationships, supporting sales, and assisting in reviews of specialty drugs and prior authorizations to optimize outcomes and cost efficiency. A strong communicator with PBM knowledge is essential.

Qualifications

• Bachelor’s Degree in Pharmacy or PharmD with current unrestricted licensure as a pharmacist.
• At least 2 years’ experience in a client-facing or consultative role within managed care or PBM.
• Ability to translate clinical information for clinical and non-clinical audiences.
• Strong problem-solving skills and ability to identify and implement solutions.
• Strong organizational, verbal and written communication skills with attention to detail.
• Proficient in drug literature and clinical trial evaluation.
• Ability to work with a team.
• MS Office products including Teams, Word, PowerPoint and Excel.
• Knowledge of the PBM industry, formulary management, pharmacy claims and managed care principles.
• Residency experience is highly preferred.

Responsibilities

• Coordinate and manage the clinical relationships between MedOne and clients.
• Assist Sales and Account Management in promoting clinical programs.
• Support client presentations with a focus on optimizing drug mix and cost containment.
• Review and sign off on specialty drug and appeal reviews for assigned clients.
• Communicate specialty drug approvals, therapy appropriateness, duration and cost of treatment.
• Communicate patient and financial impact for adverse determinations.
• Provide clinical consultation to maximize client retention.
• Inform clients about formulary and clinical program changes.
• Assist in clinical reviews and prior authorization processes with rationale and alternatives.
• Perform drug utilization reviews (concurrent, retrospective, prospective).
• Support patient calls requiring pharmacist intervention and meetings with clients.
• Interface with physicians, pharmacists, and providers for patients and clients.
• Create and maintain clinical content for MedOne programs.

Skills

Strong communicator

Problem solving

Organizational skills

Attention to detail

Team player

MS Office proficiency

Education

Bachelor’s Degree in Pharmacy or PharmD with licensure

Residency experience preferred

Tools

Teams

Word

PowerPoint

Excel

Job description

MedOne Pharmacy Benefit Solutions seeks a Clinical Account Manager to support clinical aspects of the business by working with patients, medical professionals, plan sponsors, and the MedOne team under the Director of Clinical Account Management.

The role focuses on coordinating clinical relationships, supporting sales, and assisting in reviews of specialty drugs and prior authorizations to optimize outcomes and cost efficiency. A strong communicator with PBM knowledge is essential.