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Clinical Consulting Solutions

Clinical Account Manager (HYBRID)

new york, NY

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About this opportunity

Clinical Consulting Solutions lists this Clinical Account Manager (HYBRID) opportunity in new york, New York. Review the employer’s description below for duties, qualifications and application requirements.

Job description

Clinical Account Manager (HYBRID)

Clinical Consulting Solutions New York, New York, United States

About this position

UNITAS provides clinical staffing and consulting solutions, including contract staff augmentation, permanent talent recruiting, consulting, and clinical coaching. Our extensive experience includes Pharmacy Benefit Management, Long-Term Care, Retail Pharmacy, Hospital, and Leadership, enabling us to connect the best clinical talent with outstanding companies. We know clinicians because we are clinicians!

* This position is being recruited on behalf of a client in the Pharmacy Benefit Manager (PBM) industry. Company name disclosed upon advancing in the process. *

Position Summary

This open position is seeking a strategic, client-focused professional to lead and develop strong relationships with key decision-makers in the healthcare space. In this role, you'll oversee account management, ensuring client satisfaction, retention, and trend management, while analyzing pharmacy data to provide actionable insights. You’ll collaborate with clients to develop clinical strategies, execute contract renewals, and contribute to process improvements.

Position Responsibilities

Establish and develop relationships with key client decision-makers to understand their healthcare strategy and goals

Provide oversight of client account management team with a focus on member and client satisfaction, trend management, and client retention

Partner with account team members to provide best-in-class member and client service

Support member issue resolution at client-level

Identify and contribute to process improvement efforts within the team

Responsible for management and execution of client contractual requirements

Responsible for client retention including execution of contract renewals

Analyze and interpret pharmacy claims data to identify clinical trends and insights for individual clients

Meet with clients to discuss clinical trends, review relevant pharmacy data, and provide recommendations with supportive rationale for clinical management strategies

Interpret current pharmacy and healthcare trends and provide proactive recommendations

Incorporate treatment & practice guidelines, clinical education, and pharmacy pipeline details into client presentations

Comprehend and effectively explain formulary and clinical programs to clients, including member experience

Communicate drug information to clients and respond to plan-specific clinical inquiries

Analyze and evaluate pharmacy benefit reporting and create ad-hoc reports as requested

Build and manage strong relationships with third-parties who also service our clients

Support general business needs and operations, as required

Certain times of year may require meeting participation, testing, claims review, or other requirements outside of standard business hours, including weekends.

Responsible for adherence to the client Code of Conduct, including reporting of noncompliance

Required Qualifications

Bachelor of Pharmacy (B.S. Pharmacy) or Doctor of Pharmacy (PharmD) degree from an accredited institution

Relevant experience for at least three (3) years in pharmacy - health plan, managed care, or pharmacy benefits management (PBM) experience preferred; or completion of managed care residency

Proficient in Microsoft Office Suite with emphasis on Microsoft Excel

Experience working with large datasets and analyzing raw data in Excel

Ability to balance multiple complex projects simultaneously

Exceptional written and verbal communication skills

Flexible, highly organized, and able to shift priorities easily

Attention to detail & commitment to delivering high quality work product

Ability to travel and present to small and large groups

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Worksite address

new york, NY, 10261, US

Who can apply

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