Clinical Account Manager

Abarca Health-posted 20 days ago
Full-time • Mid Level
Remote • Miami, FL
501-1,000 employees
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Abarca is igniting a revolution in healthcare. We built our company on the belief that with smarter technology we are redefining pharmacy benefits, but this is just the beginning… As a Clinical Account Manager, you will manage the clinical and client relationship component of your assigned accounts and clients' benefits, ensuring the highest level of service.

  • Deliver custom clinical strategic plan designed to address clinical defined objectives.
  • Recommend and oversee the implementation of appropriate Clinical Program & Services.
  • Responsible for analyzing financial and utilization data to identify opportunities for improving care, controlling drug trend and overall healthcare costs.
  • Evaluate Plan Design management opportunities, including formulary composition and management, utilization management, drug coverages, and prior authorization.
  • Lead the annual clinical review, providing a comprehensive assessment of the drug benefit program from both a clinical and financial vantage point.
  • Actively participates in Abarca P&T Committee meetings and client P&T meetings as per client contract, including provision of clinical material and expertise related to therapeutic class reviews, drug monographs, and drug information.
  • Support the Business Development in RFPs, demos, and development of proposals related to clinical services.
  • Support the tech division with clinical expertise.
  • Other projects or duties as needed.
  • Doctoral Degree in Pharmacy is required.
  • Current and Active Pharmacy License is required.
  • 3+ years of clinical experience in pharmacy or managed care setting or completion of a clinical or managed care residency.
  • Experience with dashboard tools, such as Power BI and Excel tools.
  • Experience with handling multiple projects at once in collaboration with internal and external stakeholders.
  • Excellent verbal and written communication skills.
  • We are proud to offer a flexible hybrid work model which will require certain on-site workdays (Puerto Rico Location Only).
  • This position requires availability to work in a specified time zone or working schedule, accommodating the business needs of our clients and team members.
  • This position may require availability for on-call hours, including evenings, weekends, and holidays, to promptly address emergent issues or provide necessary support as dictated by operational demands (if applicable).
  • Experience in Pharmacy Benefit Management (PBM), Health Plan and/ or Medicare setting.
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