Clinical Account Manager

Position Overview:

The Clinical Account Manager will support all clinical aspects of the business by working directly with patients, medical professionals, plan sponsors and the other members of the MedOne team under the direction of the Director of Clinical Account Management.

About MedOne:

MedOne is a full-service pharmacy benefit manager (PBM), serving clients and members nationwide. With a fully transparent, pass-through model, MedOne helps people conveniently access the most appropriate prescriptions at the most affordable price.

What You Will Do at MedOne:

Coordinates and manages the clinical relationships between MedOne Pharmacy Benefit Solutions and our clients

Assists the Sales and Account Management departments in promoting clinical programs to support the needs of current and future clients and/or strategic partners

Works in collaboration with Account Executives to support client presentations, with a focus on optimizing the drug mix, clinical improvement recommendations and cost containment strategies

Responsible for review and signoff on specialty drug and appeal reviews for assigned clients

Responsible for communicating specialty drug approvals, with an emphasis on the appropriateness and necessity of therapy, duration, and cost of treatment, and expected and actualized patient outcomes for assigned clients

Responsible for communicating patient and financial impact and outcomes for adverse determinations for assigned clients

Provides exceptional clinical consultation and clinical account management with a focus on attempting to exceed client expectations to maximize client retention

Effectively communicates formulary and clinical program changes to client

Assists in managing and conducting the clinical review/prior authorization process, including communicating clinical rationale, formulary therapeutic alternatives, and appeals process to members

Performs duties related to drug utilization review including concurrent, retrospective, and prospective components

Supports Member Experience and Account Management teams with phone calls from patients requiring pharmacist intervention and in-person meetings with clients

Interfaces with physicians, pharmacists, and pharmacy providers on behalf of patients and clients

Creates and maintains, as subject matter expert, clinical content for new and existing MedOne programs

Assists the Director of Account Management, in addition to other MedOne team members with general business operations related to clinical functions

Portrays the company in a positive image

Abides by all rules, regulations, and policies of the employer

Suports in furthering the profession of pharmacy through participation in the MedOne Student Internship Program

What you will bring to MedOne:

Minimum of a Bachelor’s Degree in Pharmacy or PharmD with current unrestricted licensure as a pharmacist

At least 2 years’ experience in a client facing or consultative role within the managed care or PBM setting

Must be a strong communicator with the ability to translate clinical information into a manner appropriate for both clinical and non-clinical audiences

High degree of emphasis on problem-solving skills, including identifying and accepting a challenging situation and creating and implementing a solution

Strong organizational, verbal and written communication skills with emphasis on attention to detail

Proficient in drug literature and clinical trial evaluation

Ability to work with a team

Strong working knowledge of Microsoft Office products including Teams, Word, PowerPoint and Excel

Knowledge of the PBM industry, formulary management, pharmacy claims and managed care principles and practices

Residency experience is highly preferred

Why Join MedOne?

Competitive salary and bonuses that reward your performance

Comprehensive health, dental, and vision insurance

401(k) with company match to secure your future

Generous paid time off and holidays

Opportunities for professional growth and development

A vibrant and collaborative work culture