San Juan, Puerto Rico

Clinical Account Manager

 Job Description:

***Positions posted by El Comeback are done on behalf of companies that we support in their search for candidates.***

Our partner, Abarca is igniting a revolution in healthcare. A company on the belief that with smarter technology we are redefining pharmacy benefits, but this is just the beginning

As a Clinical Account Manager, you will manage the clinical and client relationship component of your assigned accounts and clients benefits, ensuring the highest level of service.

The fundamentals for the job

  • Deliver custom clinical strategic plan designed to address clinical defined objectives.
  • Recommend and oversee the implementation of appropriate Clinical Program & Services.
  • Responsible for analyzing financial and utilization data to identify opportunities for improving care, controlling drug trend and overall healthcare costs.
  • Evaluate Plan Design management opportunities, including formulary composition and management, utilization management, drug coverages, and prior authorization.
  • Lead the annual clinical review, providing a comprehensive assessment of the drug benefit program from both a clinical and financial vantage point.
  • Actively participates in Abarca P&T Committee meetings and client P&T meetings as per client contract, including provision of clinical material and expertise related to therapeutic class reviews, drug monographs, and drug information.
  • Support the Business Development in RFPs, demos, and development of proposals related to clinical services.
  • Support the tech division with clinical expertise.  
  • Other projects or duties as needed. 

What we expect of you 

  • The bold requirements 
  • Doctoral Degree in Pharmacy is required. 
  • Current and Active Pharmacy License is required. 
  • 6+ years of clinical experience. 
  • Experience with pharmacy benefit management, financial and clinical aspects of the benefit.
  • Experience with dashboard tools, such as Power BI and Excel tools.
  • Experience with handling multiple projects at once in collaboration with internal and external stakeholders.
  • Excellent verbal and written communication skills. 
  • We are proud to offer a flexible hybrid work model which will require certain on-site workdays (Puerto Rico Location Only).
  • This position requires availability to work in a specified time zone or working schedule, accommodating the business needs of our clients and team members. 
  • This position may require availability for on-call hours, including evenings, weekends, and holidays, to promptly address emergent issues or provide necessary support as dictated by operational demands (if applicable). 

Nice to haves

  • Health Plan and Medicare Experience is preferred. 
    • Physical requirements
      • Must be able to access and navigate each department at the organizations facilities.
      • Sedentary work that primarily involves sitting/standing. 

***El Comeback is a non-profit program from ConPRmetidos that attracts and retains professional talent for Puerto Rico-based jobs. Register at elcomebackpr.org/registration-form to get matched with professional opportunities on the island.***