Job description
What you’ll do
In a few words…
Abarca is igniting a revolution in healthcare. We built our 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 organization’s facilities.
- Sedentary work that primarily involves sitting/standing.
At Abarca we value and celebrate diversity. Diversity, equity, inclusion, and belonging are guiding principles of Abarca and ensure Abarca’s workforce reflects the communities it serves. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
Abarca Health LLC is an equal employment opportunity employer and participates in E-Verify. “Applicant must be a United States’ citizen or Permanent Resident. Abarca Health LLC does not sponsor employment visas at this time”
All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of gender, race/ethnicity, gender identity, sexual orientation, protected veteran status, disability, or other protected group status.
#LI-MH1 #LI-REMOTE
#LI-MH1 #LI-REMOTE
