Innovative business clinician accountable for building and maintaining customer relationships as well as leadership of the account teams within all assigned accounts. Charged with delivering results that demonstrate value to the customer, derived from identifying, demonstrating and selling valued pharmaceutical care and cost solutions that meet the desired outcomes of the customer; general management of the account, including P&L responsibility; and accountability for contract compliance. Accountable for developing and executing the strategic plan for their accounts in conjunction with sales and operations.
Customer Centric Pharmacy Services:
- Owns overall account satisfaction for all assigned accounts. Develops strong relationships with pharmacy department or designated customer contacts. Directs operations account manager in resolving customer service issues and actions supportive of the achievement of customer service requirements including attainment of performance guarantees and minimization of performance penalty expense. Knowledgeable in all aspects of the contracts with assigned customers as well as ensuring ongoing contract performance through risk management activities including assurance of Service Level Agreement performance, assurance of accuracy of claims payment and administrative policies, rate maximization through ongoing benefit analysis and adherence to requirements of the account?s legal and regulatory environment. Creates and maintains partnerships with customers through the development, implementation and execution of strategic business plans that result in long term retention of profitable relationships. Ensures all Customer and Account-Facing services are provided in a consistent and timely fashion. Demonstrates the value of pharmacy solutions (unit cost, utilization management & patient care enhancement). 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.
- Ensures revenue goals are met, cost of care and administrative expenses managed, and EBIDTA targets achieved for the assigned account(s). Ensures contract performance through risk management activities including such items as assurance of Service Level Agreement performance in Care Management Centers and Shared Services, assurance of claims accuracy payment/administrative policies, rate maximization through ongoing benefit analysis and adherence to requirements of the account?s legal and regulatory environment.
- Seeks and identifies pharmacy products and service requirements based on a thorough understanding of each customer?s strategic business goals and the strategic business direction of the product set. Aggressively drives up-sell of pharmacy program solutions through consultative methods and ensures flawless handoff to sales and relationship management for contract execution. Supports sales and account management in renewal activities related to assigned accounts.
- Accountable for identifying creative talent to serve the account, as well as retention of high performing team members. Ensures staff is trained and receive opportunities to learn new things.
Bachelors: Pharmacy (Required), Masters
License and Certifications - Required
RPH - Registered Pharmacist - Pharmacy
License and Certifications - Preferred
Other Job Requirements
+5yearsexperience in pharmacy, managed care or PBM with2yearsexperiencein a leadership role., -Current U.S. Pharmacist license.