Director, Clinical Account Services

🔥 12 hours ago

⚔️ Virginia – Remote

⚔️ Virginia – Remote

💵 $124k - $211k / year

⏰ Full Time

🔴 Lead

👨‍⚕️ Medical Director

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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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

• Oversee overall clinical activities for Virginia Medicaid POS-PDL clinical pharmacy accounts • Upsell additional clinical services and ensure account renewal • Identify customer problems requiring clinical solutions and facilitate implementation and monitoring of solutions • Mentor clinical liaisons for assigned contracts • Support Account Managers with client relationships, clinical solution adoption, and account P&L management • Develop and track metrics monitoring program quality and care-cost impact • Partner in identifying, selling and measuring clinical program enhancements and best practices • Assist with legislative policy requests and provide benchmarking metrics • Create and maintain ad hoc reports • Communicate program progress, establish priorities, maintain client relationships, and respond to information requests • Assess, investigate and resolve difficult issues • Develop, implement and monitor project plans, requirements and timelines • Apply best practices with business process owners and stakeholders • Coordinate with Operations, Rebate and internal departments for consistent program delivery and performance monitoring • Standardize operations where possible • Provide overall project coordination for contract clinical functions • Manage revenue goals and administrative expenses • Develop relationships with key client contacts to support revenue growth • Ensure customer satisfaction with services and results • Coordinate implementation of new solutions and products and serve as liaison between the company and customers • Modify implementation approaches within budget and operational frameworks

🎯 Requirements

• Doctor of Pharmacy (PharmD) or Bachelor of Science Pharmacy Degree • Current pharmacist license in good standing with the State Board of Pharmacy • 8 years clinical account management experience • 5 years of leadership/supervisory/people management experience • Must be eligible to work in the United States without the need for work visa or residency sponsorship • 8+ years of pharmacy experience • 5+ years of experience in Pharmacy Benefits Management (PBM), Health plan or Medicaid clinical customer service • Working knowledge of MS Office Suite and COGNOS or comparable • Proven ability to plan, organize, schedule, direct, control and monitor project activities • Project management experience and knowledge of health plans, PBMs or Medicaid required • Compliance with security responsibilities, applicable legal, regulatory and contractual requirements, and internal policies and procedures • Ability to perform essential job functions, with reasonable accommodations as needed

🏖️ Benefits

• Benefits, incentives and additional compensation • Equal opportunity and affirmative action employment • Reasonable accommodations for employees with disabilities • Tobacco-Free Workplace