Clinical Account Director Remote - New Mexico Staffing : Job Details

Our work matters. We help people get the medicine they need to feel better and live well. It fuels our passion and drives every decision we make. This is an individual contributor/client facing role. The Clinical Account Director is responsible for the management of all clients clinical programs and drug strategy recommendations including drug formulary, Utilization Management programs, and other drug therapy related products and services offered by Prime. As the primary point of contact for their designated BCBS clients, the director promotes and recommends Prime standard offerings to meet client requirements and builds strong relationships with key clinical stakeholders through effective consultative services.

Responsibilities:

• Coordinate formulary management for the client including, client specific Pharmacy & Therapeutics (P&T) or business committee decision making and implementation, oversight of formulary publications, oversight of formulary information in all provider and member materials and communications, and product ownership for Medicare and Medicaid formularies.
• Provide consultation and recommendations to the client regarding Prime standard clinical program opportunities, formulary recommendations, benefit design recommendations, and other research applications and opportunities beneficial or of interest to the plan.
• Provide clinical guidance and support for clients Health Insurance Marketplace business.
• Manage incoming requests for information from the plan regarding drug therapy, formulary and clinical program related issues and partner with reporting and analytics team to present meaningful information back to the client.
• Present Primes products, services and recommendations to internal and external stakeholders and work in cooperation with Primes operational teams to coordinate and lead client specific custom clinical pharmacy programs.
• Other duties as assigned.

Minimum Qualifications:

• PharmD or Bachelor of Science Pharmacy degree
• Current pharmacist license in good standing with State Board of Pharmacy in the State where the position is located
• 3 years of relevant work experience in a retail, hospital, clinical and/or managed care setting, including at least 2 years of work experience in a clinical and/or managed care setting
• Must be eligible to work in the United States without the need for work visa or residency sponsorship

Additional Qualifications:

• Strong verbal and written communication
• Ability to think strategically and demonstrate strong problem solving skills
• Ability to balance and prioritize multiple responsibilities and deliverables
• Experienced and effective working in teams

Preferred Qualifications:

• PBM Experience
• 1 year of direct client management experience
• 1 year of clinical account management experience
• Knowledge of the applicable line of business (e.g., Medicare, Medicaid, Exchange, Commercial, Employer Group)

Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures. Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job.

Potential pay for this position ranges from $124,000.00 - $211,000.00 based on experience and skills.

Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law. We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law. Prime Therapeutics LLC is a Tobacco-Free Workplace employer.

Positions will be posted for a minimum of five consecutive workdays. Prime Therapeutics' fast-paced and dynamic work environment is ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members. If you are looking to advance your career within a growing, team-oriented, award-winning company, apply to Prime Therapeutics today and start making a difference in people's lives.

If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at 1.866.###.#### or email [email protected].