Manager, Pharmacy Clinical Consulting and Plan Performance

November 5

🤠 Texas – Remote

Although this job is listed in Texas, this company may be open to hiring remote in other states.

💵 $100k - $130k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

🦅 H1B Visa Sponsor

Apply Now

Receive Emails with Similar Jobs

Rightway

WebsiteLinkedInAll Job Openings

Healthcare Insurance • SaaS • B2B

Rightway is a healthcare company focused on providing care navigation and pharmacy benefits management solutions. It specializes in helping employers and health systems lower healthcare costs and improve outcomes through personalized, proactive clinical support and transparent pharmacy benefits management. Rightway offers a human-first approach, providing real-time, one-on-one support to members to help them make better healthcare decisions and navigate the complexities of healthcare systems. The company aims to reduce healthcare costs while improving employee satisfaction with healthcare services.

201 - 500 employees

⚕️ Healthcare Insurance

☁️ SaaS

🤝 B2B

💰 $100M Series C on 2021-03

📋 Description

• 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.

🎯 Requirements

• PharmD or equivalent degree from an accredited institution. • Active pharmacist license in good standing. • Minimum of 3 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. • Managed Care Pharmacy Residency, MBA, MPH, or a related advanced degree is a plus. • Previous experience working with health plans or PBMs is preferred.

🏖️ Benefits

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