Pharmacist-Clinical Account Manager

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Opportunities at Change Healthcare, part of the Optum family of businesses. We are transforming the health care system through innovative technology and analytics. Find opportunities to make a difference in a variety of career areas as we all play a role in accelerating health care transformation. Help us deliver cutting-edge solutions for patients, hospitals and insurance companies, resulting in healthier communities. Use your talents to improve the health outcomes of millions of people and discover the meaning behind: Caring. Connecting. Growing together.

Pharmacist-Clinical Account Manager

Overview of Position

The Pharmacist-Clinical Account Manager is responsible for leading the effort to identify, quantify, and develop actionable cost containment strategies.  The Clinical Account Manager will also implement pharmacy benefit design best practices to optimize the financial management of the pharmacy benefit while improving health outcomes. 

Location:  This is a remote/telecommuter position that may require, when travel normalizes, 1-2 overnight trips per month to Columbus, Ohio.

What will be my duties and responsibilities in this job?

• Oversee and implement quality improvement efforts
• Accountable for pharmacy and medical claim data mining and analysis in support of developing cost containment strategies
• Accountable for analysis and reporting of key pharmacy benefits metrics and success measures
• The Clinical Account Manager will assist contractors and staff on all matters related to rate setting
• Accountable for preferred drug list (PDL) design and all clinical reporting
• Accountable for strategy development and execution to optimize mandatory Federal, State Supplemental and Medical Supply rebate revenue
• Supports and serves as back-up for the Account Manager and Clinical Pharmacist as appropriate

What are the requirements needed for this position?

• Minimum of three years experience with Medicaid or a large private sector pharmacy benefits manager
• Previous experience working with drug compendia/databases
• Demonstrated knowledge in the clinical therapeutic groupings of drugs using various data elements available through drug databases such as First Data Bank and/or Medispan  
• Demonstrated knowledge of CMS rules, regulations, and guidance regarding Medicare and Medicaid
• Ohio-licensed registered pharmacist in good standing
• Pharm.D. degree, MBP, MHA, MPA or other advanced business degree or comparable work experience

What are the working conditions and physical requirements of this job?

General office demands

How much should I expect to travel?

This is a remote/telecommuter position that may require, when travel normalizes, 1-2 overnight trips per month to Columbus, Ohio.

Employees in roles that require travel will need to be able to qualify for a company credit card or be able to use their own personal credit card for travel expenses and submit for reimbursement.

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Diversity, Equity & Inclusion:

•At Change Healthcare, we include all. We celebrate diversity and inclusivity, respect each other and value our unique experiences. By being our authentic selves, we bring different perspectives into our work and relationships.
•Business Resource Groups (BRGs) play a central role in advancing diversity and inclusion at Change Healthcare. They deepen our understanding of different cultures, people, and experiences, and help foster an inclusive workplace. Change offers eight (8) BRGs. Learn more at https://careers.changehealthcare.com/diversity

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COVID Vaccination Requirements

We remain committed to doing our part to ensure the health, safety and well-being of our team members and our communities. As such, some individuals may be required to disclose COVID-19 vaccination status prior to or during employment. Certain roles may require COVID-19 vaccination and/or testing as a condition of employment. Change Healthcare adheres to COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance.

Equal Opportunity/Affirmative Action Statement

Change Healthcare is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information,  national origin, disability, or veteran status. To read more about employment discrimination protections under federal law, read EEO is the Law at https://www.eeoc.gov/employers/eeo-law-poster and the supplemental information at https://www.dol.gov/ofccp/regs/compliance/posters/pdf/OFCCP_EEO_Supplement_Final_JRF_QA_508c.pdf.

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Change Healthcare maintains a drug free workplace and conducts pre-employment drug-testing, where applicable, in accordance with federal, state and local laws.

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