Senior Manager, Clinical Consulting – Plan Performance

🕒 Maio 4

🐊 Florida – Remoto

🐊 Florida – Remote

💵 $130.000 - $150.000 / ano

⏰ Tempo Integral

🟠 Sênior

👔 Gerente

🦅 Patrocina Visto H1B

Esta empresa já patrocinou vistos H1B no passado.

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Rightway

SiteLinkedInTodas as Vagas

201 - 500 funcionários

⚕️ Seguro de Saúde

☁️ SaaS

🤝 B2B

💰 $100.000.000 Series C em 2021-03

Healthcare Insurance • SaaS • B2B

A Rightway é uma empresa de saúde focada em oferecer soluções de navegação de cuidados e gestão de benefícios farmacêuticos. Ela se especializa em ajudar empregadores e sistemas de saúde a reduzirem custos de saúde e melhorarem os resultados através de suporte clínico personalizado, proativo, e gestão transparente de benefícios farmacêuticos. A Rightway oferece uma abordagem centrada no ser humano, proporcionando suporte em tempo real, individualizado, aos membros para ajudá-los a tomar melhores decisões de saúde e navegar pelas complexidades dos sistemas de saúde. A empresa visa reduzir os custos com saúde enquanto melhora a satisfação dos funcionários com os serviços de saúde.

Descrição

• Manage clinical consulting services and improve the performance of partner plans. • Support the development and implementation of strategies to ensure client plan performance commitments are met. • Act as a clinical SME to the client services team, providing operational guidance and day-to-day management support. • Deliver high-quality clinical consulting services to clients, ensuring evidence-based recommendations. • Assist in the development and implementation of clinical programs to improve patient outcomes and support client strategies. • Analyze pharmacy benefit plan performance metrics to identify trends and areas for improvement. • Build and maintain effective relationships with clients, internal teams, and external stakeholders. • Support quality assurance efforts to ensure the accuracy and effectiveness of clinical consulting services.

🎯 Requisitos

• PharmD or equivalent degree from an accredited institution. • Active pharmacist license in good standing. • Minimum of 7 years of experience in PBM, health plan, pharmacy clinical consulting, or a related field. • Proven ability to manage projects and collaborate effectively with cross-functional teams. • Strong analytical skills with the ability to interpret data and develop actionable insights. • Excellent communication and interpersonal skills, with the ability to build relationships with clients and internal stakeholders. • In-depth knowledge of pharmacy benefit management and clinical pharmacy practices. • Experience with project management and process improvement methodologies (preferred). • Managed Care Pharmacy Residency, MBA, MPH, or a related advanced degree is a plus (preferred). • Previous experience working with health plans or PBMs is preferred.

🏖️ Benefícios

• Remote-based with occasional travel for client meetings, conferences, and professional development.