Serves as the clinical specialty-drug expert for pharmacy and medical benefits, supporting formulary development, utilization management, prior authorization, coverage determinations, and clinical reviews. Communicates recommendations, outcomes, and pharmacoeconomic information to clients, consultants, providers, and members. Analyzes clinical data and literature, supports account management, resolves member-specific issues, and advises stakeholders on specialty medications, formulary strategy, and managed care programs.
CompanyArchimedes
About UsArchimedes - Transforming the Specialty Drug Benefit - Archimedes is the industry leader in specialty drug management solutions. Founded with the goal of transforming the PBM industry to provide the necessary ingredients for the sustainability of the prescription drug benefit – alignment, value and transparency – Archimedes achieves superior results for clients by eliminating tightly held PBM conflicts of interest including drug spread, rebate retention and pharmacy ownership and delivering the most rigorous clinical management at the lowest net cost. .____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________. Current associates must use SSO login option at https://employees-navitus.icims.com/ to be considered for internal opportunities.________We are committed to providing equal employment opportunity to all applicants and employees and comply with all applicable nondiscrimination regulations, including those related to protected veterans and individuals with disabilities. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, or handicap.
Pay RangeUSD $0.00 - USD $0.00 /Yr.
STAR Bonus % (At Risk Maximum)7.50 - Salaried Non-Management except pharmacists
Work Schedule Description (e.g. M-F 8am to 5pm)M-F 8am-5pm
Remote Work NotificationATTENTION: Archimedes is only able to offer remote work to residents of Alabama, Colorado, Florida, Georgia, Indiana, Illinois, Iowa, Kansas, Kentucky, Maryland, Minnesota, Missouri, New Hampshire, New Jersey, Ohio, Oklahoma, Pennsylvania, Tennessee, Texas, Virginia, Wisconsin.
Overview
Archimedes is seeking a Clinical Account Executive (RPh) to join our team!
The Clinical Account Executive (RPh) is responsible for being the clinical expert for all specialty medications across both the pharmacy and the medical benefit. This role will communicate with clients, brokers, consultants, prospects, physicians, nurses, pharmacists, and members related to specialty drugs management.
The Clinical Account Executive (RPh) will be the clinical subject matter expert for formulary and utilization management development and decision making. This role will be divided into two areas: formulary development across pharmacy and medical benefits for specialty drugs and clinical management of accounts.
Is this you? Find out more below!
ResponsibilitiesHow do I make an impact on my team?
- Develop and communicate clinical recommendations, educational materials, and formulary-related messaging to physicians, members, clients, consultants, and other stakeholders. Support formulary management activities by evaluating medications, reviewing clinical evidence, and providing input into formulary and clinical policy recommendations.
- Assist in the development, implementation, and maintenance of pharmacy and medical benefit management programs.
- Partner with clients to communicate clinical program performance, outcomes, and recommendations.
- Evaluate clinical literature, treatment guidelines, and emerging therapies to assess effectiveness, safety, and value.
- Analyze utilization trends and clinical data to identify opportunities for improved medication use, cost savings, and member outcomes.
- Perform clinical prior authorization reviews, coverage determinations, and retrospective medication utilization reviews.
- Collaborate with operations, customer service, account management, and pharmacy teams to investigate and resolve member-specific clinical issues.
- Partner with Account Managers and Account Executives to support client meetings, communicate clinical program performance, and address pharmacy-related questions.
- Serve as a clinical resource and subject matter expert regarding specialty medications, formulary management, and utilization management programs.
- Maintain knowledge of industry trends, regulatory requirements, and specialty pharmacy developments.
- Present clinical, pharmacoeconomic, and specialty drug management information to clients, consultants, and healthcare professionals in a clear and actionable manner.
- Other duties as assigned.
What our team expects from you?
- Graduate of ACPE Accreditation School of Pharmacy with a B.S. Pharmacy or PharmD degree required.
- Current, unrestricted licensure as a Registered Pharmacist in the state of residence, or the ability to gain reciprocity within 4 months, may be required based on state of residence laws or client contracts. Refer to the Licensure and Credentialing Verification P&P for current detail. Board of Pharmacy Certification preferred for Pharmacotherapy, Ambulatory Care, or Oncology Care.
- 3-5 years clinical or managed care experience or Clinical/Managed Care Pharmacy Residency required.
- Pharmacy and Medical specialty benefit knowledge and clinical account management experience required.
- Former P&T Committee experience or formulary development experience required.
- Microsoft Excel, Power Point and Word proficiency required.
- Participate in, adhere to, and support compliance program objectives.
- The ability to consistently interact cooperatively and respectfully with other employees.
What can you expect from Archimedes?
- Top of the industry benefits for Health, Dental, and Vision insurance
- 20 days paid time off
- 4 weeks paid parental leave
- 9 paid holidays
- 401K company match of up to 5% - No vesting requirement
- Adoption Assistance Program
- Flexible Spending Account
- Educational Assistance Plan and Professional Membership assistance
- Referral Bonus Program – up to $750!
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