Clinical Account Manager

🕒 Abril 27

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Capital Rx

SiteLinkedInTodas as Vagas

501 - 1000 funcionários

Fundada em 2017

⚕️ Seguro de Saúde

💳 Fintech

🤖 Inteligência Artificial

Healthcare Insurance • Fintech • Artificial Intelligence

Capital Rx é a healthtech que mais cresce nos Estados Unidos, dedicada a transformar os modelos de precificação de medicamentos e de cuidado ao paciente. Fundada em 2017, oferece serviços inovadores de gestão de benefícios farmacêuticos (PBM), incluindo benefícios de farmácia personalizáveis para grandes empregadores e uma plataforma de navegação de cuidados com IA. A Capital Rx foca em entregar soluções custo-efetivas e eficiências operacionais aos clientes, garantindo transparência e cuidado de qualidade para os pacientes.

Descrição

• Establish and develop relationships with key client decision-makers, understand their healthcare strategy and goals, determine how Capital Rx can best help them achieve their desired results • 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.

🎯 Requisitos

• Bachelor of Pharmacy (B.S. Pharmacy) or Doctor of Pharmacy (PharmD) degree from an accredited institution, with record of strong academic performance • 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%

🏖️ Benefícios

• Health insurance • Retirement plans • Paid time off • Flexible work arrangements • Professional development