at Prime Therapeutics in Springfield, Illinois, United States
Job Description
Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.
Job Posting Title
Sr Dir, Clinical Account Services – Remote in Louisiana
Job Description Summary
Manages the overall clinical services delivered to customers and various pharmacy benefit programs, including all activities associated with clinical account management in support of innovative Medicaid pharmacy benefit management. This includes clinical and utilization management, mac operations, analysis, financial management, quality assurance, and regulatory compliance, ensuring customers reduce expenses and improve care.
Job Description
+ Supervises staff including Clinical Services Managers, Clinical Pharmacists, pharmacy technicians, and the MAC operations manager.
+ Directs, coordinates and supervises all clinical pharmacy client activities including pharmacy benefit management solutions and services.
+ Oversees, mentors and guides achievement of monthly, quarterly, and annual projections based on financial and management objectives.?
+ Serves as SME for Clinical Services for all new business RFPs, enlisting help from other SMEs as needed.
+ Oversees, mentors and supports leadership of pharmacy program implementation including new clients, product extensions, and other important clinical initiatives.
+ Designs, implements, monitors and provides appropriate feedback on metrics based performance measurement tools.
+ Drives marketing opportunities through market research, upsell across product lines and mentoring of all levels of customer clinical services.
+ Maintains currency with clinical skills and knowledge of pharmacotherapy by reviewing the literature and attending in-services, seminars, and conferences.
Additional Required Contract Responsibilities:
+ This role will function as the MMA Contract CEO
+ Have decision-making authority to commit the organization to the services in the contract section 2 (scope of work).
+ Provide overall direction for the contractor.
+ Develop strategies, formulate policies, and oversee operations to ensure goals are met.
+ Be available during LDH working hours to fulfill the responsibilities of the position.
Responsibilities
Additional Required Contract Minimum Qualifications:
+ Minimum of three years’ experience managing a program or contract of similar or greater scope with a state Medicaid program.
+ Possess a strong knowledge base in Medicaid PBM.
+ Possess the necessary customer service and supervisory/management skills and/or experience to supervise the clinical pharmacy services aspects for customers.
Work Experience
Work Experience – Required:
Marketing, Medicare Part D (MedD), Pharmacy
Work Experience – Preferred:
Education
Education – Required:
Bachelors – Pharmacy
Education – Preferred:
PharmD – Pharmacy
Certifications
Certifications – Required:
RPH – Registered Pharmacist – Pharmacy – Pharmacy
Certifications – Preferred:
PharmD – Doctor Of Pharmacy, State Licensure – Pharmacy – Pharmacy
Potential pay for this position ranges from $132,440.00 – $238,360.00 based on experience and skills. Pay range may vary by 8% depending on applicant location.
To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page (https://www.primetherapeutics.com/careers/benefits/) and click on the “Benefits at a glance” button for more detail.
Prime Therapeutics LLC is an Equal Opportunity Employer and a Tobacco-free workplace . We encourage diverse candidates to apply and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender identity or expression, genetic information, marital status, family status, national origin, age, disability, veteran status, or any other legally protected class under federal, state, or local law. Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures .
Positions will be posted for a minimum of five consecutive workdays.
Prime Therapeutics’ fast-paced and dynamic work environment is ideal for proactively addressing the constant changes in today’s health care industry. Our employees are involved, empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members.
If you are looking to advance your career within a growing, team-oriented, award-winning company, apply to Prime Therapeutics today and start making a difference in people’s lives.
Prime Therapeutics LLC is an Equal Opportunity Employer. We encourage diverse candidates to apply and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status. ? If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at 1.866.469.1257 or email Careers@primetherapeutics.com.
