The job profile for this position is Clinical Program Managing Director, which is a Band 6 Management Career Track Role.

Excited to grow your career?

We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply!

Our people make all the difference in our success.

The Managing Director, Clinical Strategy and Account Management will create, lead and drive the overall clinical strategy for the Health Plan Division (HPD) to ensure it is competitively positioned to provide exceptional clinical offerings and solutions to the Health Plan clients, while driving profitability holistically on behalf of the HPD. Develop aligned business relationships with executive level client contacts. Serve as executive level clinical representation on client escalations and finalist presentations. Also serve as an executive sponsor on high profile accounts to provide direct line of sight to executive leadership. Drive alignment by serving as the voice of the customer and partnering with cross-functional senior leadership across the PBM and Evernorth to ensure successful core service delivery/implementation of products, operational processes, and industry initiatives. Accountable for overall client retention, satisfaction, and growth within respective portfolio of business.

ESSENTIAL FUNCTIONS

• Partner closely with Health Plans' sales and account management leadership to develop strategies and initiatives that will facilitate client loyalty, ensure retention and growth targets are met, and support overall account strategy. Drive global issues to resolution and facilitate change as necessary to support client retention and growth.
• Partner with cross-functional senior leaders and the clinical market and client strategy organizations to ensure effective clinical solutions and strategies are supported within the internal enterprise, meeting SLA's key metrics and client performance guarantees. Partner with client services senior leadership to ensure successful implementation of new clients, products, and initiatives.
• Partner with HPD clients, drive/create formulary strategy impacting revenues and clinical programs. Also represent to the enterprise how pharmacy fits in the HPD care model and how we can leverage other enterprise assets, in addition to the PBM, to drive total portfolio economics as well as the linkage to clinical solutions into Evernorth.
• This role will have strategic significance in delivering results tied to P&L targets; inclusive of rebates, upsells (across the PBM and Evernorth products/services, other channels), formulary optimization and rebate optimization (getting lowest net cost for customers--driving greater affordability to the client & PBM).
• This role will also hold executive strategic relationships with the clients; working with Chief Pharmacy Officers, Chief Clinical Officers, Medicare Segment Pharmacy and Clinical Leaders, P&L owners who own formulary and benefit design and other key executive leaders in the plan (each structure is a bit different based upon the plan so will vary).
• This individual will need an incredible degree of influence, vision, and executive command to drive transformation, not only throughout the HPD division, but also throughout the broader enterprise to demonstrate the clinical needs of our clients.
• Provide oversight to the VP, Account Management and Sr. Directors and their clinical teams of Clinical Account Executives to ensure follow-through on client satisfaction, operational efficiencies and cross functional alignment. Provide division-relevant organizational planning and talent alignment to align job functions to business needs.
• Lead teams to manage, develop and retain human capital, meeting organizational succession and retention goals.

QUALIFICATIONS

• 12-16 years relevant experience with 10 years of relevant experience in account management and sales.
• Extensive experience managing client relationships; previous supervisory experience managing leaders and individual contributors required.
• Focus on excellent quality and customer service.
• Demonstrated ability to motivate people and teams while raising performance levels year over year.
• Exceptional communication and presentation skills are a must.
• Bachelor's degree required. PharmD or RPh required.

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link.