Clinical Pharmacist Client Manager

Cambia Health Solutions • Medford, OR

2d • $136,000 - $184,000 • Remote

About The Position

Clinical Pharmacist Client Manager Work from home within Oregon, Washington, Idaho or Utah Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system. Who We Are Looking For: Every day, Cambia’s dedicated team of Pharmacists are living our mission to make health care easier and lives better. As a member of the Pharmacy Services team, our Clinical Pharmacist Client Manager is responsible for providing clinical guidance, reporting, program recommendations and benefit strategies in support of the Pharmacy Sales and Account Management goals. Works in collaboration with the Pharmacy Sales and Account Management team. Identifies, leads, and measures the impact of pharmacy program opportunities that impact client cost, utilization, and quality metrics. Synthesizes client utilization data, benefit designs, employee value proposition goals, and pharmacy clinical programs and provides client specific recommendations to improve pharmacy program performance. Provides professional and clinical expertise for Pharmacy clients in making clinical decisions based on best practices in applying evidence-based medicine evaluations to determine the best quality medication choices that represent the best value in efficacy and safety. Assists the Pharmacy Sales and Account Management Team in planning, developing, and implementing clinical strategies for Pharmacy clients with respect to formulary management, drug utilization management, medication therapy management programs, quality initiatives and drug information and education – all in service of making our members’ health journeys easier. Are you looking for a position where evidence-based medicine meets innovative healthcare solutions? Are you the pharmacist who sees the bigger picture beyond the prescription counter? Then this role may be the perfect fit.

Requirements

• BS or Pharm.D. (preferred) degree in Pharmacy with the appropriate states' Pharmacy license.
• In addition to the registered pharmacist license, successful completion of a pharmacy residency, or advanced degree in health-related field preferred with four years of experience in a clinical ambulatory care/hospital setting, or equivalent experience and at least three years’ experience with pharmacy sales, business development or pharmacy benefit management or an equivalent combination of education and experience.
• Must be an active and unrestricted licensed pharmacist in state of practice.
• Comprehensive expertise in pharmacy benefit management, benefit design, pharmacy products/services, competitive market offerings, and health plan structures with thorough understanding of healthcare economics and pharmaceutical industry dynamics
• Deep clinical pharmacy knowledge with ability to apply evidence-based medicine principles to formulary design, medication coverage policies, and medication management solutions in clinical care settings
• Skilled at interpreting complex clinical information, claims data, and regulatory requirements to develop practical business solutions and meet quarterly clinical reporting goals
• Strong business analytical and project management capabilities with understanding of pharmacy/provider service reimbursement structures
• Proven ability to deliver exceptional customer service, build lasting client relationships, and collaborate effectively in team environments
• Excellent written and verbal communication abilities, including effective presentation skills for diverse audiences ranging from clients to senior management
• Strong negotiation capabilities with demonstrated success in managing professional relationships, client expectations, and developing creative solutions for existing and prospective clients

Nice To Haves

• Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired

Responsibilities

• Develop and maintain clinical client-business relationships while identifying and assisting in the development of new products and services specific to ASO groups
• Create clinical content for presentations and educational materials to inform potential or existing clients, members, and providers about Pharmacy Services products, medication coverage choices, comparative effectiveness, and coverage determinations
• Provide clinical pharmacy consultation supporting business plan development, sales, revenue, expense controls, and promoting Pharmacy Services presence while ensuring client satisfaction and repeat business through proactive issue resolution
• Collect, analyze, interpret, and forecast healthcare cost information based on prescribing patterns and medication utilization reports, presenting findings clearly and concisely to pharmacy clients
• Deliver creative thinking and leadership to accomplish quality improvement and cost-effective prescription drug program goals while providing clinical context for coverage recommendations on prior authorizations, appeals, retrospective claim reviews, and audits
• Provide consultative expertise to internal and external decision-making bodies including Pharmacy and Therapeutics Committees and Medication Policy Groups regarding formulary and medication coverage policy considerations
• Support effective clinical consultation to diverse stakeholders including members, medical directors, account representatives, case managers, customer services, appeals/grievance panels, and external providers based on medication coverage policies, member benefit contracts, and provider contracts

Benefits

• Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits.
• Annual employer contribution to a health savings account.
• Generous paid time off varying by role and tenure in addition to 10 company-paid holidays.
• Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period).
• Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave).
• Award-winning wellness programs that reward you for participation.
• Employee Assistance Fund for those in need.
• Commute and parking benefits.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 1,001-5,000 employees