Clinical Account Manager

April 2

🌾 Iowa – Remote

Although this job is listed in Iowa, this company may be open to hiring remote in other states.

🏰 Missouri – Remote

Although this job is listed in Missouri, this company may be open to hiring remote in other states.

⏰ Full Time

🟢 Junior

🟡 Mid-level

💰 Account Manager

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MedOne Pharmacy Benefit Solutions

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MedOne Pharmacy Benefit Solutions is a company that offers comprehensive pharmacy benefit solutions for members, organizations, and channel partners. The company facilitates access to prescription benefits through multiple portals, providing resources and support to both individual members and organizations that manage prescription insurance.

Pharmacy Benefit Management • Specialty & Mail-order Pharmacy Services • Third Party Administration • Pharmacy Benefit Consultation

51 - 200 employees

Founded 1999

⚕️ Healthcare Insurance

💊 Pharmaceuticals

🤝 B2B

📋 Description

• Be a crucial bridge between our clinical team and clients, driving innovation and patient care at MedOne. • Manage and foster clinical relationships between MedOne and our clients. • Collaborate with Sales and Account Management to promote clinical programs, meeting the needs of current and potential clients. • Partner with Account Executives to optimize drug mix, offer clinical improvement recommendations, and implement cost-containment strategies. • Review and approve specialty drug requests and appeal reviews for assigned clients. • Communicate specialty drug approvals, emphasizing therapy appropriateness, treatment duration, cost, and patient outcomes. • Report on patient and financial impacts related to adverse determinations for assigned clients. • Deliver exceptional clinical consultation and account management services, aiming to exceed client expectations and support retention. • Manage the clinical review and prior authorization processes, explaining clinical rationale, formulary alternatives, and appeals to members. • Conduct drug utilization reviews (concurrent, retrospective, and prospective) to optimize patient care. • Support Member Advocate and Account Management teams with pharmacist-related interventions and client-facing meetings. • Serve as a clinical liaison between physicians, pharmacists, and pharmacy providers. • Develop and maintain clinical content for MedOne programs as the subject matter expert.

🎯 Requirements

• Bachelor’s degree in Pharmacy or PharmD with an active, unrestricted RPh license in Iowa (or ability to obtain reciprocity within 4 months). • At least 2 years of experience in a client-facing or consultative role within managed care or PBM. • Strong communication skills with the ability to convey clinical information clearly to both clinical and non-clinical audiences. • Problem-solving skills, with a track record of developing and implementing effective solutions. • Attention to detail and organizational prowess in both verbal and written communication. • Proficiency in drug literature and clinical trial analysis. • Ability to work collaboratively within a team. • Strong working knowledge of Microsoft Office products (Teams, Word, PowerPoint, Excel). • Solid understanding of PBM, formulary management, pharmacy claims, and managed care principles. • Residency experience is a plus. • Some travel may be required.

🏖️ Benefits

• Competitive salary and bonuses that reward your performance. • Comprehensive health, dental, and vision insurance + additional benefits • 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.