[Remote] Clinical Account Executive II

Note: The job is a remote job and is open to candidates in USA. MedImpact Healthcare Systems, Inc. seeks a Clinical Account Executive II to manage clinical projects and accounts serving a state Medicaid agency. The role leads account teams and recommends evidence-based pharmacy benefit strategies to improve clinical quality, member outcomes, and cost-effectiveness.

Responsibilities

• Serves as team leader for specific account(s), providing guidance, coordinating tasks, and delegating tasks among junior team members when necessary to ensure service levels meet client expectations
• Monitors contractual Service Level Agreements (SLAs) related to clinical services for managed account(s) and reports to leadership if risks are observed
• Provides recommendations to assigned clients that align with the clients' goals of achieving lower net costs and high clinical quality. Strategic recommendations may include benefit design and Preferred Drug List (PDL) analysis and suggestions, provision of clinical drug information, utilization management criteria development, Pharmacy & Therapeutics (P&T) support and participation, recommendations for rational drug PDL positioning, online system edits and restrictions, ongoing clinical product evaluations, and recommendations regarding client pharmacy benefit utilization and performance trends
• Offers clinical and Medicaid consultative services in accordance with contracted services. Acts as an integral part of designing, developing, and driving the clinical components of the assigned account team's strategic and financial goals. The CAE II focuses on using a variety of analytical tools and clinical resources to identify opportunities that simultaneously improve the plan sponsor's quality-focused and financial performance metrics
• Identifies and promotes MedImpact's evidence-based interventions and communication programs to clients, providing documentation of recommendations for clinically appropriate and financially beneficial clinical initiatives (e.g., rebate enhancement, lower net cost, generic programs, QA programs)
• Recommends clinically appropriate PDL changes, considering the lowest net cost after rebates, market shifts, and utilization
• Coordinates clinical utilization analyses and presentations to clients, ensuring timely and accurate review of plan data according to policy and offering appropriate intervention recommendations
• Coordinates the clinical support of Preferred Drug Lists during plan sponsor implementation
• Participates in quarterly state P&T meetings as stipulated by client contracts

Skills

• This position is not eligible for Sponsorship
• The Clinical Account Executive (CAE) II possesses an exceptional working knowledge of Medicaid program pharmacy coverage and payment rules, along with in-depth experience in managing accounts and clinical projects
• PharmD and 5+ years' experience or equivalent combination of education and experience, and 3 years' of SME in respective areas
• To perform this job successfully, an individual should have knowledge of Microsoft Office Suite and experience with at least one business intelligent tool (IBM Cognos or Tableau preferred)
• Registered Pharmacist license in good standing and the ability to obtain licensure in specific state as necessary within 6 months
• Familiar with First Databank and Medi-Span drug information
• Analytical skills required to perform drug cost expenditure impact analysis
• Exceptional communication skills and interpersonal skills to interface with clients and internal team members
• Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions. Ability to deal with problems involving a few concrete variables in standardized situations
• Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists
• Candidates must have an understanding of pharmaceutical calculations including fractions, decimals, ratios, proportions, percentages, and medication dosing. In addition, candidates must have the ability to calculate and/or interpret market shares and graphs
• Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization
• Ability to respond to common inquiries or complaints from customers, regulatory agencies, or members of the business community
• Composure
• Decision Quality
• Organizational Agility
• Problem Solving
• Customer Focus
• Drive for Results
• Peer Relations
• Time Management
• Dealing with Ambiguity
• Learning on the Fly
• Political Savvy
• IBM Cognos or Tableau preferred

Benefits

• Medical / Dental / Vision / Wellness Programs
• Paid Time Off / Company Paid Holidays
• Incentive Compensation
• 401K with Company match
• Life and Disability Insurance
• Tuition Reimbursement
• Employee Referral Bonus
• Remote work with management approval based on business requirements

Company Overview