Clinical Program Manger

Location: 
West Coast

Clinical Program Manager - West Coast

The Clinical Program Manager will serve as the primary client contact for all clinical issues and initiatives, mastering their consultative role through delivery of clinical programs and services to an assigned client base. Programs and services delivered will be relevant to current contractual agreements and opportunities identified with clients, in accordance with business division processes and procedures as set forth by business division management. The Clinical Program Manager performs the primary functions of clinical data analysis, financial modeling, trend evaluation, clinical business plan development, consultation-presentation, implementation and oversight, results evaluation, and follow-up related to the comprehensive management of clinical programs and services.

Essential Functions

• Continual review and detection of medication utilization issues in relationship with formulary and drug plan design analysis via data warehouse query or available report evaluation. Offer data based explanations for trends and explore opportunities to address.

• Development, preparation and presentation of a clinical business plan strategy (e.g. formulary, utilization, and/or health management strategy) for each

• Leads the upsell of clinical program solutions and services to clients through consultative methods and processes (e.g. Client P/T presentations, quarterly/annual reviews, modeling/report reviews, business division communication vehicles, etc.) in accordance with client business plans and upon collaboration with account management team members.

• Consults with immediate co-workers, business division and organizational department staffs to troubleshoot and resolve issues associated with the marketing/sales, client-upsell, financial underwriting, implementation, reporting, etc. of clinical programs and services in support of business division goals and objectives.

• Effectively participates in and contributes to staff meetings, committees and departmental work groups. Participates and contributes in formal and informal training programs and professional development activities. Qualifications

• Bachelor of Science in Pharmacy; Doctor of Pharmacy and advanced degrees or pharmacy residency preferred

• 2-10 years general pharmacy experience and/or 2+ years being managed care, or PBM-like focus in managed care, or PBM

• Current U.S. Pharmacist License

• Excellent verbal and written communication skills required.

• Proficiency in using Microsoft applications preferred but not required.

• Proven leadership skills, team-orientation, a proactive management style and strong commitment to client service a must.