Clinical Account Manager

Job Overview

Position Overview:  

The Clinical Account Manager will support all clinical aspects of the business by working directly with patients, medical professionals, plan sponsors and the other members of the MedOne team under the direction of the VP of Clinical Services.

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:

• Coordinates and manages the clinical relationships between MedOne Pharmacy Benefit Solutions and our clients 
• Assists the Sales and Account Management departments in promoting clinical programs to support the needs of current and future clients and/or strategic partners.
• Works in collaboration with Account Executives to support client presentations, with a focus on optimizing the drug mix, clinical improvement recommendations and cost containment strategies 
• Responsible for review and signoff on specialty drug and appeal reviews for assigned clients 
• Responsible for communicating specialty drug approvals, with an emphasis on the appropriateness and necessity of therapy, duration, and cost of treatment, and expected and actualized patient outcomes for assigned clients 
• Responsible for communicating patient and financial impact and outcomes for adverse determinations for assigned clients 
• Provides exceptional clinical consultation and clinical account management with a focus on attempting to exceed client expectations to maximize client retention 
• Effectively communicates formulary and clinical program changes to client 
• Assists in managing and conducting the clinical review/prior authorization process, including communicating clinical rationale, formulary therapeutic alternatives, and appeals process to members 
• Performs duties related to drug utilization review including concurrent, retrospective, and prospective components 
• Supports Member Advocate and Account Management teams with phone calls from patients requiring pharmacist intervention and in-person meetings with clients 
• Interfaces with physicians, pharmacists, and pharmacy providers on behalf of patients and clients 
• Creates and maintains, as subject matter expert, clinical content for new and existing MedOne programs 
• Assists the VP of Clinical Services, in addition to other MedOne team members with general business operations related to clinical functions
• Portrays the company in a positive image 
• Abides by all rules, regulations, and policies of the employer 
• Supports in furthering the profession of pharmacy through participation in the MedOne Student Internship Program

What You Will Bring to MedOne:

• Minimum of a Bachelor’s Degree in Pharmacy or PharmD with current unrestricted licensure as a pharmacist
• At least 2 years’ experience in a client facing or consultative role within the managed care or PBM setting 
• Must be a strong communicator with the ability to translate clinical information into a manner appropriate for both clinical and non-clinical audiences 
• High degree of emphasis on problem-solving skills, including identifying and accepting a challenging situation and creating and implementing a solution 
• Strong organizational, verbal and written communication skills with emphasis on attention to detail 
• Proficient in drug literature and clinical trial evaluation 
• Ability to work with a team 
• Strong working knowledge of Microsoft Office products including Teams, Word, PowerPoint and Excel
• Knowledge of the PBM industry, formulary management, pharmacy claims and managed care principles and practices 
• Residency experience is highly preferred 

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: Chief Pharmacy Officer 

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.