DescriptionSummary
As part of our Clinical Center of Excellence, the Clinical Advisor will serve as a resource to our Services, Product and Client Management teams. This role acts as the pharmacy and medical policy subject matter expert; providing deep knowledge of the pharmacy and medical benefit space and a level of clinical independence to drive new client growth and increased client retention. He/She will be responsible for consultative support, focusing on designated projects depending on specific client needs. This role may work remotely but may require travel to our main office for meetings as designated by the manager of the Clinical CoE.
Major Responsibilities
Serves as a trusted advisor providing Pharmacy and Medical policy information, insight, and thought leadership
Researches pertinent policy information in various strategic business initiatives as appropriate to support client solutions
Supports sales and revenue growth by engaging as a trusted expert in client opportunities through research to support solutions, onsite or video presentations and one on one consultation
Communicates tactical up-to-date pharmacy and medical policy information in a way that allows clients to understand the impacts of current policy trends
Partners with, trains and develops various internal personnel to understand and present key Pharmacy and Medical policy findings
Provides detailed pharmacy analysis(es) working with our internal platforms along with various partners and PBM's decision support tools to justify the election of the appropriate pharmacy solution
Provides proactive topical pharmacy and medical policy communication(s) to internal staff
Contributes to Services, Clinical Center of Excellence team as a collaborative partner and subject matter expert
Assists in the development of the Pharmacy "practice" and helps to implement appropriate changes to our solutions and service(s) to improve client result
All other duties, as assigned
Qualifications
BS Pharmacy or PharmD is required
5+ years' experience in the Pharmacy industry working directly with prior authorizations, retail pharmacy, or Specialty pharmacy.
Comprehensive knowledge of both pharmacy and medical benefit utilization management policies
Proven ability to exceed expectations and achieve goals
Excellent presentation and communication skills
Strong analytical and critical thinking skills
Strong organization skills with the ability to prioritize in a dynamic environment
Self-motivated with a strong "can do" attitude
Additional information
Travel: Limited
Location: Remote on East Coast
Benefits: - Medical & Prescription Drug Benefits
- Health Savings Account (HSA) or Flexible Spending Accounts (FSA)
- Dental & Vision Benefits
- Basic Life and AD&D Benefits
- 401k Retirement Plan with Company Match
- Company Paid Short & Long-Term Disability
- Paid Parental Leave
- Paid Time Off & Company Holidays
The expected base salary for this position ranges from $90,000 to $115,000. It is not typical for offers to be made at or near the top of the range. Salary offers are based on a wide range of factors including relevant skills, training, experience, education, and, where applicable, licensure or certifications obtained. Market and organizational factors are also considered. In addition to base salary and a competitive benefits package, successful candidates are eligible to receive a discretionary bonus.
