Pharmacist Account Manager (Remote/Work from Home)

United States

Job Description

Plays a key role in various multi-functional projects critical to the company in achieving its clinical and operational goals and objectives. Primary lead for delivering proactive, clinical, consultative solutions to clients. Serves as clinical liaison for assigned Pharmacy contract(s) and manages overall client relationship. Participates in the development of clinical management products and services. Activities address impact on customers, operations, program integrity, pricing, quality, satisfaction, and outcomes. Develops and tracks the appropriate metrics to monitor the quality and care cost impact of client programs. Requires coordination and communication across all departments, an understanding of the strategic impact of the program(s) for the company, knowledge of how to integrate with other clinical initiatives, and familiarity with data management and analysis.

Demonstrates the value of pharmacy solutions (unit cost, utilization management & patient care enhancements). Identifies opportunities for additional services that address unmet customer needs. Provides clinical operations input and support of client specific claims processing programs, coordinates implementations of clinical projects and programs and provides support to client-specific Pharmacy and Therapeutics functions, DUR committees and responsibilities. Supports elevated customer service and prior authorization inquiries specific to assigned accounts.

Directly responsible for managing strategic accounts across various lines of business (Managed Medicaid; Commercial; Medicare; Exchange) under the guidance of the Sr Dir, Clinical Pharmacy Services.

***This position will be remote requiring up to 75% travel.

Plays a key role in various multi-functional projects critical to the company in achieving its clinical and operational goals and objectives. Primary lead for delivering proactive, clinical, consultative solutions to clients. Serves as clinical liaison for assigned Pharmacy contract(s) and manages overall client relationship. Participates in the development of clinical management products and services. Activities address impact on customers, operations, program integrity, pricing, quality, satisfaction, and outcomes. Develops and tracks the appropriate metrics to monitor the quality and care cost impact of client programs. Requires coordination and communication across all departments, an understanding of the strategic impact of the program(s) for the company, knowledge of how to integrate with other clinical initiatives, and familiarity with data management and analysis.

Demonstrates the value of pharmacy solutions (unit cost, utilization management & patient care enhancements). Identifies opportunities for additional services that address unmet customer needs. Provides clinical operations input and support of client specific claims processing programs, coordinates implementations of clinical projects and programs and provides support to client-specific Pharmacy and Therapeutics functions, DUR committees and responsibilities. Supports elevated customer service and prior authorization inquiries specific to assigned accounts.

Directly responsible for managing strategic accounts across various lines of business (Managed Medicaid; Commercial; Medicare; Exchange) under the guidance of the Sr Dir, Clinical Pharmacy Services.

Essential Functions



- Leads the development of clinical program enhancements, trend monitoring and management strategies, and better practices for assigned clients.  Assists with development, enhancement, and maintenance of operational functions, policy and clinical support and provider education.

- Develops, implements, and monitors project plan requirements and timelines, ensures all necessary support, tools and technology are available, and follows up as needed. Meets with business process owners and other appropriate personnel to identify project goals, objectives, critical success factors, and success measures.

- Works closely with teams to ensure consistent delivery of approved programs to their client.  Ensures operations are standardized at the fullest extent possible. Provides overall project coordination for the client’s clinical and operational functions.

- Oversees and coordinates implementation of new clinical programs and serves as clinical liaison between the company and customers as needed.

- Assists in modifying implementation approaches within budget and operational framework.

- Revenue Generation - Works jointly with Account Management team to ensure revenue goals, administrative expenses are managed.

- Business Development - Implements new programs to enhance relationships with key stakeholders and promote programs and services.

- Develops strong relationships with key contacts at client level.

- Develops strong relationships and contacts within the company that are supportive of the achievement of increased revenue goals and improved outcomes and quality of care.

- Supports other functions as requested throughout the program development and client management lifecycle including finance, outcomes, communications and IT.

- Communicates frequently, either by phone or in person, with client to report program progress.  Establishes priorities and maintains positive client relationship. Responds to clients requests for information.  Delivers regular account Quarterly Business Reviews (QBRs) to clients. 

- Proactively assesses, investigates and resolves difficult issues to achieve customer satisfaction. 

- Proactively delivers consultative clinical solutions to clients to address their complex pharmacy and medical management challenges. 

- Maintains client Preferred Drug Lists and custom formularies.

- Responsible for oversight of all program reporting. Ensures standard and ad hoc reports are provided accurately and on time.

- Supports the State Drug Utilization Review Boards and Pharmacy and Therapeutics (P&T) Committees.

#LI-KB1

General Job Information

Title

Pharmacist Account Manager (Remote/Work from Home)

Grade

29

Job Family

Sales Group

Country

United States of America

FLSA Status

United States of America (Exempt)

Recruiting Start Date

5/15/2019

Date Requisition Created

4/30/2019

Minimum Qualifications

Education

Bachelors: Pharmacy (Required), PharmD: Pharmacy

License and Certifications - Required

RPH - Registered Pharmacist - Pharmacy

License and Certifications - Preferred

PharmD - Doctor Of Pharmacy, State Licensure - Pharmacy

Other Job Requirements

Responsibilities

- Proven ability to plan, organize, schedule, direct, control and monitor project activities. - Well-developed interpersonal skills. - Able to perform basic financial analysis.

Managed Care Residency Preferred

5+ years in clinical operations, quality, network, pharmacy or project management. Project management experience and knowledge of health plans required. Provider experience preferred.

Magellan Health Services is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled. Every employee must understand, comply and attest to the security responsibilities and security controls unique to their position.

Top 5 reasons to work at Magellan

When you say

To be the best you have to work with the best

We hear you
Life @ Magellan