Clinical Account Manager

Job Overview

Position Overview:

Be a crucial bridge between our clinical team and clients, driving innovation and patient care at MedOne.

About MedOne:

MedOne is a full-service pharmacy benefit manager (PBM), serving clients and members nationwide. With a fully transparent, pass-through model, MedOne helps people conveniently access the most appropriate prescriptions at the most affordable price.

What You'll Do:

• Manage and foster clinical relationships between MedOne and our clients.
• Collaborate with Sales and Account Management to promote clinical programs, meeting the needs of current and potential clients.
• Partner with Account Executives to optimize drug mix, offer clinical improvement recommendations, and implement cost-containment strategies.
• Review and approve specialty drug requests and appeal reviews for assigned clients.Communicate specialty drug approvals, emphasizing therapy appropriateness, treatment duration, cost, and patient outcomes.
• Report on patient and financial impacts related to adverse determinations for assigned clients.
• Deliver exceptional clinical consultation and account management services, aiming to exceed client expectations and support retention.
• Manage the clinical review and prior authorization processes, explaining clinical rationale, formulary alternatives, and appeals to members.
• Conduct drug utilization reviews (concurrent, retrospective, and prospective) to optimize patient care.
• Support Member Advocate and Account Management teams with pharmacist-related interventions and client-facing meetings.
• Serve as a clinical liaison between physicians, pharmacists, and pharmacy providers.
• Develop and maintain clinical content for MedOne programs as the subject matter expert.

What You Will Bring to MedOne:

• Bachelor’s degree in Pharmacy or PharmD with an active, unrestricted RPh license in Iowa (or ability to obtain reciprocity within 4 months).
• At least 2 years of experience in a client-facing or consultative role within managed care or PBM.
• Strong communication skills with the ability to convey clinical information clearly to both clinical and non-clinical audiences.  
• Problem-solving skills, with a track record of developing and implementing effective solutions.
• Attention to detail and organizational prowess in both verbal and written communication.
• Proficiency in drug literature and clinical trial analysis.
• Ability to work collaboratively within a team.
• Strong working knowledge of Microsoft Office products (Teams, Word, PowerPoint, Excel).
• Solid understanding of PBM, formulary management, pharmacy claims, and managed care principles.
• Residency experience is a plus.
• Some travel may be required.

Why MedOne?

At MedOne, we believe that a healthy team is a happy team. We offer a collaborative work environment, competitive benefits, and opportunities for growth—all while helping to make a difference in people’s lives. 

Our top core value is to prioritize your well-being. To support you in living this value, we offer:

• Competitive salary and bonuses that reward your performance.
• Comprehensive health, dental, and vision insurance + additional benefits
• 401(k) with company match to secure your future.
• Generous paid time off and holidays.
• Opportunities for professional growth and development.
• A vibrant and collaborative work culture.

Location: Offices in either Dubuque, IA, or Kansas City, MO, or the position can be remote within the United States. 

Employment Type: Full-Time, Salaried

Reports to: Vice President, Clinical Services

How to Apply: If you're enthusiastic about helping others and eager to join a dynamic team, we’d love to hear from you. Apply now and take the first step toward a rewarding career at MedOne! You can submit your application through our careers page. 

MedOne is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Job Offers are contingent on passing a background check and drug screen.