Director Clinical Account Services - Remote
About The Position
Prime Therapeutics (Prime) is seeking a Director Clinical Account Services to play a key role in the Virginia Medicaid POS-PDL clinical pharmacy accounts. This role involves overseeing overall clinical activities for various clients, upselling additional clinical services, and ensuring account renewals. The Director will collaborate with Account Managers to identify customer problems requiring clinical solutions, facilitate the implementation and monitoring of these solutions to reduce expenses and improve care, and serve as a facilitator and mentor to clinical liaisons. The position also involves assisting Account Managers in managing client relationships, driving adoption of clinical solutions, and managing the Profit and Loss (P&L) of the account to meet profitability targets. A strong understanding of the financial impact of clinical recommendations on both client cost of care and program administration is essential. Activities will address the impact on customers, operations, program integrity, pricing, quality, and satisfaction. The role requires developing and tracking metrics to monitor program quality and cost impact, providing guidance and mentoring to Account Manager staff, and communicating across all departments to understand the strategic impact of programs. Expertise in data management and healthcare trends specific to the Medicaid population is necessary for this collaborative role with customers.
Requirements
- Doctor of Pharmacy (PharmD) or Bachelor of Science Pharmacy Degree
- Current pharmacist license in good standing with the State Board of Pharmacy
- 8 years clinical account management experience
- 5 years of leadership/supervisory/people management experience
- Must be eligible to work in the United States without the need for work visa or residency sponsorship
Nice To Haves
- 8+ years of pharmacy experience.
- 5+ years of experience in Pharmacy Benefits Management (PBM), Health plan or Medicaid clinical customer service.
- Working knowledge of MS Office Suite and COGNOS or comparable.
- Proven ability to plan, organize, schedule, direct, control and monitor project activities.
- Project management experience and knowledge of health plans, PBMs or Medicaid required.
- PharmD - Doctor Of Pharmacy, State Licensure - Pharmacy
Responsibilities
- Partners with appropriate staff in the identification, sale and measurement of clinical program enhancements and better practices.
- Assists with legislative policy requests and provides timely information on current events and trends that includes benchmarking metrics.
- Creates and maintains ad hoc reports that meet customer needs.
- Communicates frequently and reports program progress, establishes priorities and maintains positive client relationship. Responds to client?s requests for information.
- Assesses, investigates and resolves difficult issues to achieve customer satisfaction.
- Develops, implements and monitors project plan requirements and timelines, ensures all necessary support, tools and technology are available, and follows up as needed.
- Ensures application of best practices across contracts in meeting with business process owners and other appropriate stakeholders to identify the project & aposs goals, objectives, critical success factors and success measures.
- Works closely with Operations, Rebate and other internal departments to ensure consistent delivery of approved programs to the client and results of programs, as well as overall metrics to monitor performance of the program.
- Ensures operations are standardized at the fullest extent possible.
- Provides overall project coordination for the contract & aposs clinical functions.
- Ensures revenue goals and administrative expenses are managed.
- Develops strong relationships with key contacts at client level and contacts that are supportive of the achievement of increased revenue goals.
- Ensures all customers are fully satisfied with services and results.
- Provides guidance and assistance in the coordination of implementation of new solutions and products and serves as liaison between the company and customers as needed.
- Assists in modifying implementation approaches within budget and operational framework.
Benefits
- Benefits, Incentives and Additional Compensation
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What This Job Offers
Job Type
Full-time
Career Level
Director
