Irxs Clinical Account Manager - Pharmacy Benefits

About Us

As a rapidly growing organization, Innovative Rx Strategies is distinguished by its commitment to advocating for clients both personally and financially while delivering measurable cost savings for employers and their employees.

Are you interested in joining a successfully growing organization that has been recognized for over a decade as a Best Place to Work, recipient of Healthiest Workplace awards, and The Platinum Bell Seal for Workplace Mental Health? If so, come join our Innovative Rx Strategies team of clinical experts!  

Our team serves employers, benefits brokers, TPAs, health care systems and health plans with deep understanding of the pharmacy benefits markets and health care industry trends. With expert knowledge we are committed to one mission — breaking down a complex industry to save our clients' money on their benefits programs and manage their cost trends.

Innovative Rx Strategies is an Apex Benefits Group, Inc. (ABG) company. ABG offers competitive benefits, flexible hybrid/remote work model, a collaborative team environment, and advanced training and development. 

Job summary

The Clinical Account Manager executes the client strategy to provide overall day-to-day clinical account management to ensure the effective execution of client objectives and the PBM contract. This role is ideal for a client-focused professional with expertise in pharmacy benefits and healthcare consulting. The position blends account management, data support, and vendor oversight, to deliver high-impact solutions for employer-sponsored health plans. Teaming with the Account Executives, you’ll ensure client account needs are met. This role offers a dynamic opportunity to shape pharmacy benefit outcomes across diverse employers.    

Summary of essential job functions/responsibilities

Account Management

• Coordinate meetings, agendas, and follow-up action items related to pharmacy benefit activities
• Deliver exceptional customer service, including interpreting plan designs, resolving claims and member issues, and addressing benefit and enrollment inquiries
• Conduct routine onsite account visits as needed
• Monitor compliance and legislative changes, advising clients and ensuring adherence to regulatory requirements

Data Support

• Support the presentation of routine trend reports and annual performance reviews
• Assist in the execution of the annual reconciliation and market check processes
• Assessing client and PBM data to appropriately forward on those that need additional team support, and follow up on completion  

Vendor Management

• Ensure vendors meet client-specific needs and timelines
• Interface with PBM operations to resolve issues efficiently
• Support implementation of new PBMs, programs, and services
• Lead the operational activities related to client Request for Proposals (RFP) for PBM vendors 

Clinical & Advisory Services

• Develop comprehensive individual client clinical pharmacy benefit strategies, staying ahead of the current trends based on your knowledge and learning in the field
• Develop clinical guidance by driving informed decisions considering efficacy and cost related items in a population health focused manner for new-to-market and high-cost drugs on both the pharmacy and medical benefit
• Provide clinical insight during vendor evaluations and the selection of pharmacy benefit managers and consulting solutions
• Collaborate with accounts and analytics teams to monitor pharmacy claims performance, identifying opportunities to enhance benefits, close clinical gaps, and drive cost savings

Minimum requirements

• Pharmacy degree required; PharmD or Pharmacy Residency preferred
• A minimum of 2+ years of practical pharmacy experience required or equivalent with a managed care pharmacy residency; previous PBM or Pharmacy Benefit experience preferred
• Knowledge of current business and industry trends 
• Superior problem solving, analytical ability, attention to detail and customer service skills
• Positive attitude, willingness to learn and interest in working towards team goals
• Relationship builder
• Excellent organizational and time management skills
• Highly developed reasoning and problem-solving skills
• Strong verbal communication skills, with ability to present in person with clients and prospects
• Self-motivated, with ability to meet deadlines; ability to work productively and proactively
• Ability to plan, organize, and work on multiple tasks simultaneously and exercise independent judgement
• Proficient in Excel, Word, PowerPoint, and other analytic tools that may be introduced
• Abide by all obligations under HIPAA related to Protected Health Information (PHI) and Capable of maintaining confidential information

Additional Information

This is a remote position with travel requirements. Must be able to travel for meetings, training, conferences, and/or client visits approximately 6–10 times annually, including occasional overnight stays.

Apex Benefits Group, Inc believes in equal opportunity employment and does not discriminate based on age, race, color, religion, gender, sexual orientation, gender identity, gender expression, national origin, protected veteran status, disability, or any other legally protected status.

This role is U.S.-based. We have preferred states where employees are based, including Indiana, Ohio, Illinois, Kentucky, North Carolina, Arizona, Texas, Colorado, and Pennsylvania.

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