Clinical Account Executive - Pharmacy

About this role 

The Clinical Account Executive (CAE) role presents an exceptional opportunity for a skilled pharmacist to apply their pharmacy and healthcare expertise in driving strategic initiatives that align with employer clients' objectives and the development of supporting processes to drive long term growth and success. The CAE is responsible for enhancing clinical and financial outcomes for client memberships through comprehensive management and consultation.  

As the primary point of contact for all clinical-related initiatives, the CAE oversees trend analysis, develops and presents clinical business plans, and ensures successful and on time implementation and follow-up on clinical programs and services. This role demands the creation of a strategic plan that directly supports the client’s goals, focusing on critical business metrics like member satisfaction and identifying cost reduction strategies while optimizing clinical outcomes.  

Operating with a high level of autonomy, the CAE has decision-making authority on behalf of the client, ensuring their clinical strategies are aligned with their overall business objectives. 

What you’ll do

• Strategic Consultation: Provide expert consultation to clients, leveraging a deep understanding of industry challenges to identify and implement solutions that address their specific pain points.  Serve as a trusted advisor to client by developing a deep understanding of the client’s benefits ecosystem.  

• Clinical Program Implementation: Lead the up-selling and implementation of clinical program solutions through a consultative approach, including ongoing interactions, quarterly/annual reviews, and detailed modeling/report reviews, all in alignment with client business plans and in collaboration with the account management team.  

• Client Escalation Management: Effectively manage and de-escalate client escalation management, ensuring swift and satisfactory resolution.  

• Cross-Functional Collaboration: Work closely with internal cross-functional teams to advocate for client needs, ensuring their demands are met with precision and urgency.  

• Industry Insight: Stay current on industry trends and drug information, providing clear interpretations that guide strategic decisions and serving as a subject matter expert for internal and external stakeholders.  

• Medication Utilization Review: Continuously review medication utilization to identify issues related to specialty drug plan design, ensuring optimal client outcomes.  

• Data-Driven Communication: Analyze and communicate data-driven explanations for client trends, proactively exploring opportunities for improvement as needed.  

• Clinical Strategy Development: Oversee the development, preparation, quality, training and presentation of clinical business strategies, recommending improvements to utilization and health management reporting.  

• Client Service Coordination: Collaborate closely with assigned Account Executives and Account Management teams to address all client needs, ensuring seamless service delivery.  

• Clinical Oversight: Provide clinical oversight and management within the business division, developing tools and training to achieve work plan goals and representing the division in various corporate initiatives, including product development and client advisory boards.  

• Annual Strategy Presentation: Develop, prepare, and present clinical business strategies for multiple clients annually, ensuring alignment with their evolving needs.  

• Plan Review and Improvement: Regularly review plan setups to detect trends and issues related to formulary and drug plan design, recommending necessary adjustments.  
• Process Improvement: implement predictable, repeatable, and scalable processes, establishing an infrastructure that integrates efforts and accountabilities to improve Client Success framework 

What we’re looking for 

• B.S. in Pharmacy or Doctor of Pharmacy (Pharm.D.) required; advanced degrees or completion of a pharmacy residency are preferred.  

• Minimum of 4-6 years of relevant experience in pharmacy, managed care, or the PBM industry.  

• Must hold a current U.S. Pharmacist License.  

• Strong proficiency in Microsoft Word, Excel, and PowerPoint, with a solid understanding of financials.  

• Demonstrated expertise in project management, with the ability to lead and execute projects using established processes.  

• Superior verbal and written communication abilities, with impactful presentation skills and the capacity to negotiate effectively.  

• Strong leadership skills with the ability to organize, analyze, and interpret information, while effectively influencing and collaborating with others.  

• High level of business acumen, with the ability to quickly grasp complex concepts, drive organizational effectiveness, and identify business opportunities.  

• Exceptional client relationship skills, with a keen focus on upselling clinical programs, retaining clients, and delivering outstanding client satisfaction.  

• Experience developing and managing trusted advisor relationships with client stakeholders, including C-suite, to fully understand the client’s business strategy and measures of success.  

• Strong analytical skills with the ability to identify and resolve complex issues, and make data-driven decisions.  

• Adaptable, flexible, high-energy, self-starter with a collaborative approach, eager to continuously improve processes and outcomes.  

• Proven ability to work cross-functionally, proactively communicate, and resolve issues with a high sense of urgency.  

• Ability to execute and prioritize multiple, competing priorities in a high growth environment and able to effectively manage ambiguity.  

• Willingness to travel overnight up to 20% of the time.