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.
- Physical requirements
***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.***