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Manager of Pharmacy Clinical Consulting and Plan Performance
Manager of Pharmacy Clinical Consulting and Plan PerformanceRightway • Dallas, Iowa, USA
Manager of Pharmacy Clinical Consulting and Plan Performance

Manager of Pharmacy Clinical Consulting and Plan Performance

Rightway • Dallas, Iowa, USA
21 days ago
Job type
  • Full-time
Job description

ABOUT THE ROLE :

The Manager of Pharmacy Clinical Consulting and Plan Performance is responsible for managing clinical consulting services and improving the performance of partner plans. This role will work closely with internal teams and external stakeholders to drive initiatives that enhance clinical outcomes cost efficiency and overall plan performance. As a subject matter expert (SME) the Manager will provide clinical guidance and collaborate across departments to meet client goals.

WHAT YOULL DO :

Leadership and Strategy :

  • Support the development and implementation of strategies to ensure client plan performance commitments are met.
  • Act as a clinical SME to the client services team providing operational guidance and day-to-day management support.
  • Collaborate with internal leaders to align clinical consulting efforts with organizational goals.

Clinical Consulting Services :

  • Deliver high-quality clinical consulting services to clients ensuring evidence-based recommendations.
  • Assist in the development and implementation of clinical programs to improve patient outcomes and support client strategies.
  • Support clinical discussions with clients during sales implementations and ongoing operations including how benefit designs and clinical programs impact financial performance.
  • Plan Performance Optimization :

  • Analyze pharmacy benefit plan performance metrics to identify trends and areas for improvement.
  • Collaborate with internal teams to identify and execute performance improvement strategies and report on outcomes.
  • Provide day-to-day support and guidance to the client services team in managing client relationships and performance.
  • Stakeholder Collaboration :

  • Build and maintain effective relationships with clients internal teams and external stakeholders.
  • Serve as a resource to the client services team in discussing clinical strategies and performance improvements with clients.
  • Participate in client meetings presentations and consultations to support ongoing client engagement.
  • Act as a liaison between clients and internal teams ensuring clear communication and alignment on goals.
  • Compliance and Quality Assurance :

  • Support quality assurance efforts to ensure the accuracy and effectiveness of clinical consulting services.
  • Stay updated on industry trends and best practices in pharmacy PBM and healthcare ensuring continuous improvement.
  • WHO YOU ARE :

  • PharmD or equivalent degree from an accredited institution.
  • Active pharmacist license in good standing.
  • Minimum of 3 years of experience in PBM health plan pharmacy clinical consulting or a related field.
  • Proven ability to manage projects and collaborate effectively with cross-functional teams.
  • Strong analytical skills with the ability to interpret data and develop actionable insights.
  • Excellent communication and interpersonal skills with the ability to build relationships with clients and internal stakeholders.
  • In-depth knowledge of pharmacy benefit management and clinical pharmacy practices.
  • Preferred Qualifications :

  • Experience with project management and process improvement methodologies.
  • Managed Care Pharmacy Residency MBA MPH or a related advanced degree is a plus.
  • Previous experience working with health plans or PBMs is preferred.
  • SALARY (BEFORE BONUS POTENTIAL) : $100000 - $130000

    Offer amounts for both remote and in office roles are influenced by geographic location.

    Working Conditions :

  • Remote-based with occasional travel for client meetings conferences and professional development.
  • CYBERSECURITY AWARENESS NOTICE

    In response to ongoing and industry-wide fraudulent recruitment activities (i.e. job scams) Rightway wants to inform potential candidates that we will only contact them from the @ domain. We will never ask for bank details or deposits of any kind as a condition of employment.

    CYBERSECURITY AWARENESS NOTICE

    In response to ongoing and industry-wide fraudulent recruitment activities (i.e. job scams) Rightway wants to inform potential candidates that we will only contact them from the @ domain. We will never ask for bank details or deposits of any kind as a condition of employment.

    ABOUT RIGHTWAY :

    Rightway is on a mission to harmonize healthcare for everyone everywhere. Our products guide patients to the best care and medications by inserting clinicians and pharmacists into a patients care journey through a modern mobile app. Rightway is a front door to healthcare giving patients the tools they need along with on-demand access to Rightway health guides human experts that answer their questions and manage the frustrating parts of healthcare for them.

    Since its founding in 2017 Rightway has raised over $205mm from investors including Khosla Ventures Thrive Capital and Tiger Global. Were headquartered in New York City with satellite offices in Denver and Dallas. Our clients rely on us to transform the healthcare experience improve outcomes for their teams and decrease their healthcare costs.

    HOW WE LIVE OUR VALUES TO OUR TEAMMATES :

    Were seeking those with passion for healthcare and relentless devotion to our goal. We need team members that embody our following core values :

    1) We are human first

    Our humanity binds us together. We bring the same empathetic approach to every individual we engage with whether it be our members our clients or each other. We are all worthy of respect and understanding and we engage in our interactions with care and intention. We honor our stories. We listen toand heareach other we celebrate our differences and similarities we are present for each other and we strive for mutual understanding.

    2) We redefine what is possible

    We always look beyond the obstacles in front of us to imagine new solutions. We approach our work with inspiration from other industries other leaders and other challenges. We use ingenuity and resourcefulness when faced with tough problems.

    3) We debate then commit

    We believe that a spirit of open discourse is part of a healthy culture. We understand and appreciate different perspectives and we challenge our assumptions. When working toward a decision or a new solution we actively listen to one another approach it with a yes and mentality and assume positive intent. Once a decision is made we align and champion it as one team.

    4) We cultivate grit

    Changing healthcare doesnt happen overnight. We reflect and learn from challenges and approach the future with a determination to strive for the face of daunting situations we value persistence. We embrace failure as a stepping stone to future success. On this journey we seek to act with guts resilience initiative and tenacity.

    5) We seek to delight

    Healthcare is complicated and personal. We work tirelessly to meet the goals of our clients while also delivering the best experience to our members. We recognize that no matter the role or team we each play a crucial part in our members care and take that responsibility seriously. When faced with an obstacle we are kind respectful and solution-oriented in our approach. We hold ourselves accountable to our clients and our members success.

    Rightway is Proudly an Equal Opportunity Employer that believes in strength in the diversity of thought processes beliefs background and education and fosters an inclusive culture where differences are celebrated to drive the best business decisions possible. We do not discriminate on any basis covered by appropriate law. All employment is decided on the consideration of merit qualifications need and performance.

    Required Experience :

    Manager

    Key Skills

    Compliance Management,Customer Retention,Quality Assurance,Customer Service,Extensive Knowledge,Account Management,Front Office,Telephone Calls,Needs Analysis,Cold calls,Business Relationships,Customer Complaints,Sales Goals,Sales Process,New Clients

    Employment Type : Full Time

    Experience : years

    Vacancy : 1

    Monthly Salary Salary : 100000 - 130000

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    Clinical Pharmacy Manager • Dallas, Iowa, USA

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