Prime Therapeutics

Sr. Dir. Clinical Acct Services - Remote

Prime Therapeutics$143K — $243K *
US-AnywhereRemote in United States
Healthcare
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in Pharmacy
  • 10+ years of experience in Pharmacy
  • 2+ years of experience in Medicare Part D
  • 5+ years in a marketing role
  • Active Registered Pharmacist (RPH) license

Responsibilities

  • Supervises a diverse team, including Clinical Services Managers and Pharmacists
  • Directs and coordinates clinical pharmacy activities for client services
  • Monitors and guides financial and management objective achievement
  • Acts as subject matter expert for Clinical Services in new business proposals
  • Leads pharmacy program implementation and clinical initiatives for new clients
  • Designs and evaluates metrics for performance measurement tools
  • Drives marketing initiatives through research and customer service mentoring

Benefits

  • Comprehensive health insurance options
  • Retirement savings plans
  • Paid time off and holidays
  • Continuing education and conference attendance support
  • Flexible working arrangements
  • Potential bonuses based on performance
Full Job Description
Sr. Dir. Clinical Acct Services - Remote Manages the overall clinical services delivered to customers and various pharmacy benefit programs, including all activities associated with clinical account management in support of innovative Medicaid pharmacy benefit management. This includes clinical and utilization management, mac operations, analysis, financial management, quality assurance, and regulatory compliance, ensuring customers reduce expenses and improve care. Responsibilities • Supervises staff including Clinical Services Managers, Clinical Pharmacists, pharmacy technicians, and the MAC operations manager. • Directs, coordinates and supervises all clinical pharmacy client activities including pharmacy benefit management solutions and services. • Oversees, mentors and guides achievement of monthly, quarterly, and annual projections based on financial and management objectives. • Serves as SME for Clinical Services for all new business RFPs, enlisting help from other SMEs as needed. • Oversees, mentors and supports leadership of pharmacy program implementation including new clients, product extensions, and other important clinical initiatives. • Designs, implements, monitors and provides appropriate feedback on metrics based performance measurement tools. • Drives marketing opportunities through market research, upsell across product lines and mentoring of all levels of customer clinical services. • Maintains currency with clinical skills and knowledge of pharmacotherapy by reviewing the literature and attending in- services, seminars, and conferences. Minimum Qualifications • Bachelors - Pharmacy • 10+ years Pharmacy • 2+ years Medicare Part D (MedD) • 5+ years Marketing • RPH - Registered Pharmacist - Pharmacy Must be eligible to work in the United States without the need for work visa or residency sponsorship Additional Qualifications • Possess a strong knowledge base in Medicaid PBM. • Possess the necessary customer service and supervisory/management skills and/or experience to supervise the clinical pharmacy services aspects for customers. Preferred Qualifications • PharmD - Doctor Of Pharmacy, State Licensure - Pharmacy Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job. Potential pay for this position ranges from $143,000.00 - $243,000.00 based on experience and skills. To review our Benefits, Incentives and Additional Compensation, visit our and click on the "Benefits at a glance" button for more detail (https://www.primetherapeutics.com/benefits).

About Prime Therapeutics

Prime Therapeutics is a pharmacy benefit management company that serves health plans, employers, and government programs. The company was founded in 1998 and is headquartered in Eagan, Minnesota. Prime Therapeutics manages prescription drug benefits for more than 30 million people across the United States. The company's services include claims processing, formulary management, and clinical programs. Prime Therapeutics is owned by 18 Blue Cross and Blue Shield health plans. In 2017, the company reported revenue of $5.3 billion.
Learn more about Prime Therapeutics
Size
4,000 employees
Industry
Founded
1990

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