Senior Manager, Clinical Consulting – Plan Performance

🕒 May 4

🐊 Florida – Remote

🐊 Florida – Remote

💵 $130k - $150k / year

⏰ Full Time

🟠 Senior

👔 Manager

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Rightway

WebsiteLinkedInAll Job Openings

201 - 500 employees

⚕️ Healthcare Insurance

☁️ SaaS

🤝 B2B

💰 $100M Series C on 2021-03

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.

📋 Description

• 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.

🎯 Requirements

• 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.

🏖️ Benefits

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