Department

Job Title

Capital Rx is redefining the way prescriptions are priced and administered in the U.S. Capital Rx unlocks the pharmacy supply chain and reduces prescription costs for employer groups. By establishing a competitive marketplace for drug pricing, Capital Rx focuses its resources on deploying actionable strategies that improve plan performance and patient outcomes. The company's commitment to innovation, technology, and service is why Capital Rx is the fastest-growing pharmacy benefit manager in America.

Clinical Account Management

Clinical Account Manager

Location: Remote (For Non-Local) or Hybrid (Local to NYC area)

About Capital Rx:

Capital Rx is a next generation pharmacy benefits manager, overseeing prescription benefit plans on behalf of employers, unions, and government entities. Determined to transform an outdated model, Capital Rx’s mission is to change the way prescription benefits are priced and administered in the US, unlocking enduring social change. Through our platform approach, Capital Rx delivers data-driven insights and actionable strategies that reduce costs, while improving patient outcomes. Our commitment to innovation, technology and service is the reason why Capital Rx is among the fastest-growing PBMs in the country.

Position Responsibilities:

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• Establish and develop relationships with key client decision-makers, understand their healthcare strategy and goals, determine how Capital Rx can best help them achieve their desired results
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• Provide oversight of client account management team with a focus on member and client satisfaction, trend management, and client retention
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• Partner with account team members to provide best-in-class member and client service
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• Support member issue resolution at client-level
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• Identify and contribute to process improvement efforts within the team
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• Responsible for management and execution of client contractual requirements
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• Responsible for client retention including execution of contract renewals
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• Analyze and interpret pharmacy claims data to identify clinical trends and insights for individual clients
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• Meet with clients to discuss clinical trends, review relevant pharmacy data, and provide recommendations with supportive rationale for clinical management strategies
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• Interpret current pharmacy and healthcare trends and provide proactive recommendations
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• Incorporate treatment & practice guidelines, clinical education, and pharmacy pipeline details into client presentations
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• Comprehend and effectively explain formulary and clinical programs to clients, including member experience
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• Communicate drug information to clients and respond to plan-specific clinical inquiries
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• Analyze and evaluate pharmacy benefit reporting and create ad-hoc reports as requested
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• Build and manage strong relationships with third-parties who also service our clients
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• Support general business needs and operations, as required
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• Certain times of year may require meeting participation, testing, claims review, or other requirements outside of standard business hours, including weekends.
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Required Qualifications:

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• Bachelor of Pharmacy (B.S. Pharmacy) or Doctor of Pharmacy (PharmD) degree from an accredited institution, with record of strong academic performance
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• Relevant experience for at least three (3) years in pharmacy - health plan, managed care, or pharmacy benefits management (PBM) experience preferred; or completion of managed care residency
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• Prior account management experience preferred
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• Proficient in Microsoft Office Suite with emphasis on Microsoft Excel
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• Experience working with large datasets and analyzing raw data in Excel
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• Ability to balance multiple complex projects simultaneously
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• Exceptional written and verbal communication skills
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• Flexible, highly organized, and able to shift priorities easily
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• Attention to detail & commitment to delivering high quality work product
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• Ability to travel and present to small and large groups
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• Travel estimated not to exceed 25%
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Base Salary: $130,000 - $150,000

This range represents the low and high end of the anticipated base salary range for the NY - based position. The actual base salary will depend on several factors such as: experience, knowledge, and skills, and if the location of the job changes.

Capital Rx values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.