Clinical Account Manager

Summary

Join Abarca, a company revolutionizing healthcare through smarter technology, as a Clinical Account Manager. You will manage the clinical and client relationship aspects of assigned accounts, ensuring top-notch service. Responsibilities include developing custom clinical strategic plans, recommending and overseeing clinical program implementation, analyzing financial and utilization data, evaluating plan design opportunities, leading annual clinical reviews, participating in P&T committee meetings, supporting business development, and providing clinical expertise to the tech division. This role requires a Doctoral Degree in Pharmacy, a current and active Pharmacy License, 6+ years of clinical experience, experience in pharmacy benefit management, financial and clinical aspects of benefits, dashboard tools like Power BI and Excel, handling multiple projects, and excellent communication skills.

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

Responsibilities

• 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

Preferred Qualifications

Health Plan and Medicare Experience is preferred

Benefits

• 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)