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Clinical Account Director - Remote

Clinical Account Director - Remote

Montana StaffingHelena, MT, US
1 day ago
Job type
  • Full-time
  • Remote
Job description

Clinical Account Director

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.

The Clinical Account Director is responsible for the management of all client specific 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 include :

  • 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 client's 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 Prime's products, services, and recommendations to internal and external stakeholders and work in cooperation with Prime's operational teams to coordinate and lead client specific custom clinical pharmacy programs

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)
  • 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, 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.

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    Director Clinical • Helena, MT, US

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