Clinical Account Manager

Summary

Join Abarca, a healthcare revolutionizing company, as a Clinical Account Manager to manage clinical and client relationships, ensuring top-tier service. You will deliver custom clinical strategic plans, recommend and implement clinical programs, analyze data to improve care and control costs, and evaluate plan design opportunities. The role involves leading annual clinical reviews, participating in P&T committee meetings, supporting business development, and collaborating with the tech division. This position requires a Doctoral Degree in Pharmacy, a current active license, and 6+ years of clinical experience. A flexible hybrid work model is offered, but availability for specific time zones, on-call hours, and potential weekend/holiday work may be required.

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
• Must be able to access and navigate each department at the organization’s facilities
• Sedentary work that primarily involves sitting/standing
• 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)

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)