Clinical Account Executive II

MedImpact Healthcare Systems, Inc.•San Diego, CA

8d•$128,974 - $237,313

About The Position

The Clinical Account Executive (CAE) II applies extensive knowledge of Medicaid pharmacy coverage and payment rules, account management, and clinical projects to optimize the clinical quality and cost-effectiveness of drug therapy for a state Medicaid agency and its members. The role focuses on rational drug utilization and uses analytical tools and evidence-based methods to support lower net costs, improved health outcomes, and strong satisfaction for plan sponsors and members. The CAE II is the subject matter expert and team lead for assigned accounts, guiding and coordinating work among junior team members as needed to meet client service expectations. The position collaborates with corporate resources and uses data, performance indicators, experience, and judgment to identify improvements aligned with client and company goals. The role is based onsite at the San Diego headquarters or another company location; remote work may be approved by management according to business requirements. Domestic travel may be required.

Requirements

PharmD and at least 5 years of experience, or an equivalent combination of education and experience.
At least 3 years of subject matter expert experience in the respective areas.
Registered Pharmacist license in good standing and ability to obtain licensure in the specific state as necessary within 6 months.
Knowledge of Microsoft Office Suite and experience with at least one business intelligence tool.
Familiarity with First Databank and Medi-Span drug information.
Analytical skills to perform drug cost expenditure impact analysis.
Exceptional communication and interpersonal skills for interfacing with clients and internal team members.
Ability to perform pharmaceutical calculations, including fractions, decimals, ratios, proportions, percentages, and medication dosing, and to calculate or interpret market shares and graphs.
Ability to write routine reports and correspondence, speak effectively before groups, and respond to common inquiries or complaints.
Ability to follow detailed written or oral instructions, solve practical problems, and handle concrete variables in standardized and less-standardized situations.
Demonstrated competencies in composure, decision quality, organizational agility, problem solving, customer focus, drive for results, peer relations, time management, dealing with ambiguity, learning on the fly, and political savvy.
Ability to meet the physical demands of the role, including regularly sitting, talking or hearing, standing, walking, handling or feeling objects, reaching, and occasionally lifting or moving up to 25 pounds.
Ability to work beyond traditional hours and nights, weekends, or holidays as required, and to travel domestically if required.

Nice To Haves

Experience with IBM Cognos or Tableau.

Responsibilities

Lead assigned account teams by providing guidance, coordinating tasks, and delegating work among junior team members as needed.
Monitor contractual Service Level Agreements for clinical services on managed accounts and report observed risks to leadership.
Recommend strategies to clients that support lower net costs and high clinical quality, including benefit design and Preferred Drug List analysis, clinical drug information, utilization management criteria, Pharmacy & Therapeutics support and participation, PDL positioning, online system edits and restrictions, product evaluations, and analysis of pharmacy benefit utilization and performance trends.
Provide clinical and Medicaid consulting in accordance with contracted services and help design, develop, and drive the clinical components of account-team strategic and financial goals.
Use analytical tools and clinical resources to identify opportunities that improve plan sponsors’ quality and financial performance metrics.
Promote evidence-based interventions and communication programs, documenting recommendations for clinically appropriate and financially beneficial initiatives.
Recommend clinically appropriate Preferred Drug List changes, considering net cost after rebates, market shifts, and utilization.
Coordinate clinical utilization analyses and client presentations, ensuring timely and accurate review of plan data and recommending appropriate interventions.
Coordinate clinical support for Preferred Drug Lists during plan sponsor implementation.
Participate in quarterly state Pharmacy & Therapeutics meetings as stipulated by client contracts.