Posted 6 months ago  

Clinical Advisor

Posted 6 months ago - 63 views - 12 Applied

As part of our Clinical Center of Excellence, the Clinical Advisor will serve as a resource to our Data Operations, Product and Client Management teams.  This role acts as the pharmacy and medical policy subject matter expert; providing deep knowledge of the pharmacy and medical benefit space and a level of clinical independence to drive new client growth and increased client retention.  He/She will be responsible for consultative support, focusing on designated projects depending on specific client needs.  This role may work remotely but may require travel to our main office for meetings as designated by the manager of the Clinical CoE.
Major Responsibilities

  • Serves as a trusted advisor providing Pharmacy and Medical policy information, insight, and thought leadership
  • Researches pertinent policy information in various strategic business initiatives as appropriate to support client solutions
  • Supports sales and revenue growth by engaging as a trusted expert in client opportunities through research to support solutions, onsite or video presentations and one on one consultation
  • Communicates tactical up-to-date pharmacy and medical policy information in a way that allows clients to understand the impacts of current policy trends
  • Partners with, trains and develops various internal personnel to understand and present key Pharmacy and Medical policy  findings
  • Provides detailed pharmacy analysis(es) working with our internal platforms along with various partners and PBM's decision support tools to justify the election of the appropriate pharmacy solution
  • Provides proactive topical pharmacy and medical policy communication(s) to internal staff
  • Contributes to Data Operations, Clinical Center of Excellence team as a collaborative partner and subject matter expert
  • Assists in the development of the Pharmacy "practice" and helps to implement appropriate changes to our solutions and service(s) to improve client result

Basic Qualifications

  • BS Pharmacy or PharmD is valued but not required
  • 5+ years’ experience in the Pharmacy industry working directly with prior authorizations, retail pharmacy, or Specialty pharmacy.
  • Comprehensive knowledge of both pharmacy and medical benefit utilization management policies
  • Proven ability to exceed expectations and achieve goals
  • Excellent presentation and communication skills
  • Strong analytical and critical thinking skills
  • Strong organization skills with the ability to prioritize in a dynamic environment
  • Self-motivated with a strong “can do” attitude

Additional Information

  • Travel: Limited
  • Location: Remote on East Coast
  • All your information will be kept confidential according to EEO guidelines.
  • Before you apply, please check if any restrictions apply in terms of time zone or country.
  • This job has a geo-restriction in place:USA Only.