Clinical Account Manager
About The Position
Foundation Risk Partners is hiring a Clinical Account Manager for its ARMSRx team. The role serves as a trusted clinical advisor to pharmacy benefit consulting clients, combining clinical expertise, strategic consulting, analytics, and relationship management to help clients optimize pharmacy benefits, improve member outcomes, manage pharmacy spend, assess PBM performance, and evaluate emerging market developments. The Clinical Account Manager serves as the primary clinical consultant for an assigned client and broker portfolio, develops stakeholder relationships, and provides practical recommendations on pharmacy benefit strategy. The role also collaborates with analytics and internal teams to deliver consulting services, client solutions, and educational or business-development materials.
Requirements
- Doctor of Pharmacy (PharmD) degree.
- Active pharmacist license in good standing.
- At least 5 years of experience in pharmacy benefit consulting, managed care pharmacy, a PBM, health plan, or a related pharmacy benefit role.
- Strong understanding of PBMs, formulary strategy, specialty pharmacy, utilization management, rebates, and pharmacy benefit plan design.
- Strategic and consultative mindset with strong business acumen.
- Ability to build credibility with clients, brokers, PBMs, vendors, and internal partners.
- Excellent written and verbal communication, presentation, and relationship management skills.
- Strong analytical, problem-solving, and strategic thinking abilities.
- Ability to communicate complex clinical information to diverse audiences.
- Collaborative, innovative, and solution-oriented approach with a commitment to measurable client value.
Nice To Haves
- Experience supporting employers, TPAs, brokers, coalitions, or health systems.
- Experience with PBM evaluations, RFPs, contract reviews, vendor assessments, claims analysis, and client presentations.
Responsibilities
- Serve as the primary clinical consultant for an assigned portfolio of clients and broker partners.
- Build trusted relationships with client stakeholders and participate in client meetings, strategic reviews, and quarterly business reviews.
- Recommend strategies related to formulary management, specialty pharmacy, utilization management, benefit design, and emerging pharmacy trends.
- Translate complex clinical and industry concepts into practical, actionable recommendations.
- Monitor emerging drugs, specialty therapies, biosimilars, GLP-1 medications, gene therapies, and other market developments.
- Assess PBM performance and help clients evaluate clinical programs, point solutions, and vendor offerings.
- Provide clinical oversight and support for high-cost claims, specialty utilization, prior authorization, and appeals, as applicable.
- Partner with analytics to interpret claims data and develop client-facing clinical and financial recommendations.
- Collaborate with Account Executives, Project Management, Operations, and leadership to deliver consulting services and client solutions.
- Support PBM RFPs, vendor evaluations, implementations, educational materials, webinars, thought leadership, and prospect meetings.
Benefits
- Medical, vision, and dental benefit options.
- 401(k) with company match.
- Company-paid life insurance.
- Short-term disability and long-term disability coverage.
- Generous PTO policy starting at 18 days per year.
- 10 paid holidays and 2 floating holidays.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Ph.D. or professional degree
