Capital Rx

Capital Rx provides comprehensive health benefit management and transparent pharmacy benefit management solutions, integrating various healthcare services to support millions of plan members across diverse sectors.

Health Care Providers & Services

Health Care

251-1K (450)

Founded 2017

33 open positions

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Clinical Account Manager

2 months, 3 weeks ago

United States

Full-time

Mid Level

Account Manager

Customer and Technical Support

Apply Now

Capital Rx

Health Care Providers & Services

251-1K

Founded 2017

View All Jobs 33

Description

Establish and grow relationships with key client decision-makers to understand their healthcare goals and how Capital Rx can support them.
Oversee client account management with a focus on member satisfaction, client satisfaction, trend management, and retention.
Partner with account team members to deliver high-quality member and client service.
Support resolution of client-level member issues.
Manage client contractual requirements and execute contract renewals.
Analyze pharmacy claims data to identify clinical trends and client-specific insights.
Meet with clients to review pharmacy data, discuss trends, and recommend clinical management strategies.
Interpret pharmacy and healthcare trends and incorporate guidelines, clinical education, and pipeline information into client presentations.
Explain formulary and clinical programs to clients, including the member experience, and respond to clinical inquiries.
Create and analyze pharmacy benefit reports, including ad hoc reporting as requested.
Build and maintain relationships with third parties that serve clients.
Contribute to process improvement efforts and support broader business and operational needs.
Participate in meetings, testing, claims review, or other work outside standard business hours when required.
Adhere to the Capital Rx Code of Conduct and report any noncompliance.

Requirements

Bachelor of Pharmacy (B.S. Pharmacy) or Doctor of Pharmacy (PharmD) from an accredited institution with strong academic performance.
At least 3 years of relevant pharmacy experience; health plan, managed care, or PBM experience preferred.
Managed care residency completion accepted as an alternative to the preferred pharmacy experience.
Prior account management experience preferred.
Proficiency in Microsoft Office Suite, especially Microsoft Excel.
Experience working with large datasets and analyzing raw data in Excel.
Ability to manage multiple complex projects simultaneously.
Exceptional written and verbal communication skills.
Highly organized, flexible, and able to shift priorities easily.
Strong attention to detail and commitment to high-quality work product.
Ability to travel and present to small and large groups.
Travel required up to 25%.

Interested in this position?

Apply directly on the company website

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