[Hiring] Clinical Account Executive II @MedImpact Healthcare Systems, Inc.

Role Description

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. This position is dedicated to optimizing the clinical quality and cost-effectiveness of drug therapy for a state Medicaid agency and its members. The role focuses on the rational management of drug utilization, employing analytical tools and an evidence-based approach to achieve lower net costs, better health outcomes, and high levels of satisfaction for plan sponsors and their members.

In addition to account/contract management responsibilities, the CAE II serves as both the subject matter expert and the team lead for specific account(s). The CAE II provides guidance, coordinates tasks, and when necessary, delegates tasks among junior team members to ensure service levels meet client expectations. This position collaborates with corporate resources to achieve overall account and company financial goals. It relies on data and performance indicators, along with experience and judgment, to identify and promote performance improvement opportunities that meet the aligned goals of MedImpact and the client.

Essential Duties and 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.
• Offers clinical and Medicaid consultative services in accordance with contracted services.
• Identifies and promotes MedImpact's evidence-based interventions and communication programs to clients.
• Recommends clinically appropriate PDL changes, considering the lowest net cost after rebates, market shifts, and utilization.
• Coordinates clinical utilization analyses and presentations to clients.
• Coordinates the clinical support of Preferred Drug Lists during plan sponsor implementation.
• Participates in quarterly state P&T meetings as stipulated by client contracts.

Qualifications

• PharmD and 5+ years’ experience or equivalent combination of education and experience, and 3 years' of SME in respective areas.
• 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.
• Exceptional communication skills and interpersonal skills to interface with clients and internal team members.

Requirements

• Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions.
• Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.
• Understanding of pharmaceutical calculations including fractions, decimals, ratios, proportions, percentages, and medication dosing.
• Ability to write routine reports and correspondence.
• Ability to respond to common inquiries or complaints from customers, regulatory agencies, or members of the business community.

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

Work Location

This position works within the State of South Carolina, preferably in the area of Columbia, SC (or from a remote location with management approval based on business requirements).

Working Hours

This is an exempt level position requiring the incumbent to work the hours required to fully accomplish job responsibilities and reasonably meet deadlines for work deliverables.

Travel

This position may require domestic travel.