Clinical Account Manager

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🔥 0 minutes ago

🚗 Michigan – Remote

🚗 Michigan – Remote

💵 $108k - $184k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

💰 Account Manager

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Prime Therapeutics

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1998

🏥 Healthcare

💼 Consulting

🛡️ Insurance

Healthcare • Consulting • Insurance

Prime Therapeutics is a trusted pharmacy solutions provider dedicated to transforming health care through innovation and transparency. The company offers a wide range of services including clinical solutions for improved member outcomes, drug access and affordability, specialty drug management, and condition management for chronic health issues. With over 7,000 employees, Prime Therapeutics aims to challenge norms in the pharmacy industry, providing exceptional experiences and simplifying the complex for millions across the nation. Their mission goes beyond profit, focusing on creating transformative impacts with long-term solutions, utilizing modern technology and holistic approaches in specialty pharmacy management. Owned by mission-driven partners, Prime Therapeutics emphasizes true transparency and conflict-free service, fostering a culture of care and shared purpose in health care.

📋 Description

• Build and maintain customer relationships across assigned accounts • Lead account teams and develop and execute strategic account plans with sales and operations • Deliver pharmaceutical care and cost solutions that demonstrate value to customers • Own overall account satisfaction and resolve customer service issues • Ensure contract compliance, Service Level Agreement performance, claims payment accuracy, and adherence to legal and regulatory requirements • Develop, implement, and execute strategic business plans supporting long-term profitable customer retention • Demonstrate pharmacy solutions and identify opportunities for additional services • Provide clinical operations input and support client-specific claims processing programs and clinical projects • Support Pharmacy and Therapeutics functions, DUR committees, elevated customer service, and prior authorization inquiries • Manage account financials, revenue goals, cost of care, administrative expenses, and EBITDA targets • Identify pharmacy product and service opportunities and drive up-sell through consultative methods • Support sales and account management renewal activities • Identify, retain, train, and develop high-performing account team members

🎯 Requirements

• Bachelor's degree in Pharmacy • 2+ years of management leadership experience • 5+ years of pharmacy experience • Must be eligible to work in the United States without work visa or residency sponsorship • 3–5 years of experience in clinical operations, quality, network, pharmacy, or project management, or a managed care pharmacy residency • Ability to plan, organize, schedule, direct, control, and monitor project activities • Well-developed interpersonal skills • Ability to perform basic financial analysis • Project management experience and knowledge of health plans • Provider experience preferred • Master's degree preferred • PharmD preferred • State pharmacy licensure preferred • Ability to comply with security responsibilities, controls, legal, regulatory, contractual, and internal policy requirements • Ability to perform essential job functions, with reasonable accommodations available when applicable

🏖️ Benefits

• Benefits, incentives and additional compensation are provided; details are available on Prime's Benefits Page • Equal opportunity and affirmative action employer • Reasonable accommodations for employees with disabilities • Tobacco-Free Workplace