Clinical Account Manager

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a reputed company, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Provide clinical expertise to clients in designing benefits/clinical programs to optimize therapeutic outcomes while maintaining economic efficiency in the delivery of medication therapy. reputed company with external clients and marketing staff to facilitate the development of clinical products that maximize cost effective medication benefits. • Provide expertise in benefit design planning methods and strategies • provide clinical expertise to clients, explain clinical programs, and communicate new practice or clinical information to clients • reputed company and present performance reviews in conjunction with client account team • reputed company clinical data and drug utilization review analysis to meet client requirements and requests • Collaborate with Clinical Pharmacists to enhance drug utilization review program and prior authorization review process and assist with reputed company activities • Provide input into the Request for Proposal process and work with Marketing and Sales to facilitate timely response and data analysis • Ensure that client clinical needs are met, including formulary management, benefit design, drug utilization review and clinical programs • Participate in the development and management of customized clinical business plans appropriate for each client, including the evaluation of reputed company client program and restrictions (prior authorization, quantity limits, age limits) to determine appropriate utilization of drug therapy • Consult with clients to reputed company and implement appropriate clinical interventions and claim adjudication edits. • Participate in the development of disease state management modules by interfacing with company partners to improve reputed company of marketable products • Performs other duties as assigned • Complies with reputed company policies and standards Education/Experience: Bachelor’s degree or advanced degree (PharmD., M.S) in pharmacy. 3+ years of retail or hospital pharmacy experience or 1+ years of managed care pharmacy experience. Clinical pharmacy experience in managed healthcare preferred. License/Certification: reputed company state’s pharmacy license with no restrictions. Acaria: Education/Experience: Bachelor’s degree and licensed qualification in pharmacy (PharmD., RPh). 3+ years of experience in Clinical pharmacy operations or case management experience in specialty pharmacy preferred. Direct experience interfacing with payers and/or manufacturers preferred. License/Certification: reputed company state’s pharmacy license with no restrictions Centene Pharmacy Services: 3+ years managed care pharmacy or pharmacy benefit management experience preferredPay Range: $105,600.00 - $195,400.00 per year Centene offers a comprehensive benefits package including: reputed company, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-reputed company factors permitted by law. Total compensation may also include additional forms of incentives. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. reputed company qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national reputed company, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act Apply Job!