Clinical Account Manager

Our partner, Abarca is igniting a revolution in healthcare. A company on the belief that with smarter technology we are redefining pharmacy benefits, but this is just the beginning

As a Clinical Account Manager, you will manage the clinical and client relationship component of your assigned accounts and clients benefits, ensuring the highest level of service.

The fundamentals for the job

• Deliver custom clinical strategic plan designed to address clinical defined objectives.
• Recommend and oversee the implementation of appropriate Clinical Program & Services.
• Responsible for analyzing financial and utilization data to identify opportunities for improving care, controlling drug trend and overall healthcare costs.
• Evaluate Plan Design management opportunities, including formulary composition and management, utilization management, drug coverages, and prior authorization.
• Lead the annual clinical review, providing a comprehensive assessment of the drug benefit program from both a clinical and financial vantage point.
• Actively participates in Abarca P&T Committee meetings and client P&T meetings as per client contract, including provision of clinical material and expertise related to therapeutic class reviews, drug monographs, and drug information.
• Support the Business Development in RFPs, demos, and development of proposals related to clinical services.
• Support the tech division with clinical expertise.
• Other projects or duties as needed.

What we expect of you

• The bold requirements
• Doctoral Degree in Pharmacy is required.
• Current and Active Pharmacy License is required.
• 6+ years of clinical experience.
• Experience with pharmacy benefit management, financial and clinical aspects of the benefit.
• Experience with dashboard tools, such as Power BI and Excel tools.
• Experience with handling multiple projects at once in collaboration with internal and external stakeholders.
• Excellent verbal and written communication skills.
• We are proud to offer a flexible hybrid work model which will require certain on-site workdays (Puerto Rico Location Only).
• This position requires availability to work in a specified time zone or working schedule, accommodating the business needs of our clients and team members.
• This position may require availability for on-call hours, including evenings, weekends, and holidays, to promptly address emergent issues or provide necessary support as dictated by operational demands (if applicable).

Nice to haves

• Health Plan and Medicare Experience is preferred.

Physical requirements

Must be able to access and navigate each department at the organizations facilities.

• Sedentary work that primarily involves sitting / standing.
• El Comeback is a non-profit program from ConPRmetidos that attracts and retains professional talent for Puerto Rico-based jobs. Register at elcomebackpr.org / registration-form to get matched with professional opportunities on the island.