Account Management Pharmacist

Role Overview

• Serve as the clinical advisor to employer groups in managing pharmacy benefits and services
• Present the value of pharmacy programs at new business finalist meetings and support drug utilization reviews for retention business
• Develop relationships with groups and consultants in the employer group market
• Develop and implement clinical pharmacy strategies which result in high-quality, cost-effective pharmacy management and outcomes for self-funded group business
• Develop, analyze, report on clinical programs, manage and coordinate between Health Care Management and Health Care Services Development to support group business sales
• Analyze, document, and report pharmacy project performance results relative to clinical indicators
• Develop, implement and manage managed care programs such as prior authorization and quantity limitations programs in order to meet employer group goals
• Ensure clinical compliance with law and regulatory bodies and represent pharmacy programs before review bodies such as the North Carolina Department of Insurance and the National Committee for Quality Assurance
• Develop and maintain formulary compliance programs
• Develop educational materials, newsletters, member and provider talking points and disseminate clinical information for both internal and external audiences
• Pursue active membership in professional organizations and seek continual professional development in an effort to identify industry trends and best practices and innovative solutions to current and emerging industry challenges
• Clinically evaluate member impact to program changes elected by employer groups

Requirements

• Bachelor's degree or advanced degree
• 5+ years of experience in related field
• In lieu of degree, 7+ years of experience in related field
• licensed pharmacist or eligible for licensure in North Carolina
• 1+ year(s) experience with client facing account management (Preferred)
• Existing relationship with and knowledge of the North Carolina health care broker/consultant community (Preferred)
• 2+ years of experience with health plans and/or prescription benefit managers (Preferred)
• Resident of North Carolina and able to travel the state for in person meetings with clients (Preferred)

Benefits

• Medical, dental, and vision coverage along with numerous health and wellness programs
• Parental leave and support plus adoption and surrogacy assistance
• Career development programs and tuition reimbursement for continued education
• 401k match