Senior Manager, Clinical Consulting – Plan Performance

Vaga não está no LinkedIn

🕒 Abril 13

🐊 Florida – Remoto

🐊 Florida – Remote

💵 $130.000 - $150.000 / ano

⏰ Tempo Integral

🟠 Sênior

👔 Gerente

🦅 Patrocina Visto H1B

Esta empresa já patrocinou vistos H1B no passado.

👻 Score fantasma 23%

O que significa: quão provável esta vaga está aberta sem contratação ativa.Como ler: 60% ou mais significa que achamos que é uma vaga fantasma. Pontuações mais baixas preocupam menos.Como pontuamos: tempo em aberto, republicações, vagas abertas vs tamanho do time, rapidez para fechar vagas, e se o salário está divulgado.Observação: é uma estimativa de dados públicos, não um julgamento da empresa. Vagas reais podem ter pontuação alta, então use como uma dica, não como um fato.

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Rightway

SiteLinkedInTodas as Vagas

201 - 500 funcionários

🏥 Saúde

⚕️ Seguro de Saúde

☁️ SaaS

💰 $100.000.000 Series C em 2021-03

Healthcare • Healthcare Insurance • SaaS

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

• 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. • Collaborate with internal leaders to align clinical consulting efforts with organizational goals. • 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. • Support clinical discussions with clients during sales, implementations, and ongoing operations including how benefit designs and clinical programs impact financial performance. • Analyze pharmacy benefit plan performance metrics to identify trends and areas for improvement. • Collaborate with internal teams to identify and execute performance improvement strategies and report on outcomes. • Provide day-to-day support and guidance to the client services team in managing client relationships and performance. • Build and maintain effective relationships with clients, internal teams, and external stakeholders. • Serve as a resource to the client services team in discussing clinical strategies and performance improvements with clients. • Participate in client meetings, presentations, and consultations to support ongoing client engagement. • Act as a liaison between clients and internal teams, ensuring clear communication and alignment on goals. • Support quality assurance efforts to ensure the accuracy and effectiveness of clinical consulting services. • Stay updated on industry trends and best practices in pharmacy, PBM, and healthcare, ensuring continuous improvement.

🎯 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 is a plus. • Managed Care Pharmacy Residency, MBA, MPH, or a related advanced degree is a plus. • Previous experience working with health plans or PBMs is preferred.

🏖️ Benefícios

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