MP
Clinical Account Manager
- Hiring from
- United States
- Work type
- Remote
- Posted
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Position Overview:
The Clinical Account Manager will support all clinical aspects of the business by working directly with patients, medical professionals, plan sponsors and the other members of the MedOne team under the direction of the Director of Clinical Account Management.
About MedOne:
MedOne is a full-service pharmacy benefit manager (PBM), serving clients and members nationwide. With a fully transparent, pass-through model, MedOne helps people conveniently access the most appropriate prescriptions at the most affordable price.
What You Will Do at MedOne:
Coordinates and manages the clinical relationships between MedOne Pharmacy Benefit Solutions and our clients
Assists the Sales and Account Management departments in promoting clinical programs to support the needs of current and future clients and/or strategic partners
Works in collaboration with Account Executives to support client presentations, with a focus on optimizing the drug mix, clinical improvement recommendations and cost containment strategies
Responsible for review and signoff on specialty drug and appeal reviews for assigned clients
Responsible for communicating specialty drug approvals, with an emphasis on the appropriateness and necessity of therapy, duration, and cost of treatment, and expected and actualized patient outcomes for assigned clients
Responsible for communicating patient and financial impact and outcomes for adverse determinations for assigned clients
Provides exceptional clinical consultation and clinical account management with a focus on attempting to exceed client expectations to maximize client retention
Effectively communicates formulary and clinical program changes to client
Assists in managing and conducting the clinical review/prior authorization process, including communicating clinical rationale, formulary therapeutic alternatives, and appeals process to members
Performs duties related to drug utilization review including concurrent, retrospective, and prospective components
Supports Member Experience and Account Management teams with phone calls from patients requiring pharmacist intervention and in-person meetings with clients
Interfaces with physicians, pharmacists, and pharmacy providers on behalf of patients and clients
Creates and maintains, as subject matter expert, clinical content for new and existing MedOne programs
Assists the Director of Account Management, in addition to other MedOne team members with general business operations related to clinical functions
Portrays the company in a positive image
Abides by all rules, regulations, and policies of the employer
Suports in furthering the profession of pharmacy through participation in the MedOne Student Internship Program
What you will bring to MedOne:
Minimum of a Bachelor’s Degree in Pharmacy or PharmD with current unrestricted licensure as a pharmacist
At least 2 years’ experience in a client facing or consultative role within the managed care or PBM setting
Must be a strong communicator with the ability to translate clinical information into a manner appropriate for both clinical and non-clinical audiences
High degree of emphasis on problem-solving skills, including identifying and accepting a challenging situation and creating and implementing a solution
Strong organizational, verbal and written communication skills with emphasis on attention to detail
Proficient in drug literature and clinical trial evaluation
Ability to work with a team
Strong working knowledge of Microsoft Office products including Teams, Word, PowerPoint and Excel
Knowledge of the PBM industry, formulary management, pharmacy claims and managed care principles and practices
Residency experience is highly preferred
Why Join MedOne?
Competitive salary and bonuses that reward your performance
Comprehensive health, dental, and vision insurance
401(k) with company match to secure your future
Generous paid time off and holidays
Opportunities for professional growth and development
A vibrant and collaborative work culture
Location: We have offices in either Dubuque, IA, or Kansas City, KS, or the position can be remote within the United States
Employment Type: Full-Time, Salary/Non-Exempt
Hours: Hours may vary within our normal business hours
How to Apply: If you're enthusiastic about helping others and eager to join a dynamic team, we’d love to hear from you. Apply now and take the first step toward a rewarding career at MedOne! You can submit your application through our careers page.
MedOne is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
Job Offers are contingent on passing a background check and drug screen.
