Clinical Account Executive - Express Scripts - Hybrid (Health Plans)

Job Description

JOB DESCRIPTION

The Clinical Account Executive (CAE) position is an exciting opportunity for a pharmacist who is looking to leverage their pharmacy and healthcare expertise to meet the Health Plan client's strategic goals and drive improved clinical and financial outcomes for their membership.

In this role the CAE will use their deep understanding of the pharmacy/healthcare landscape and pipeline, as well as strong clinical, analytical, financial, and business skills to develop and present a comprehensive strategy aligning and supporting to the client's strategic goals.

The strategic plan should address critical business metrics such as member and client satisfaction, clinical support and clinical solution program adoption - with a goal to deliver lower healthcare costs and optimal clinical outcomes.

The CAE independently manages a book of moderately complex clients requiring this role to think forward into the future as the healthcare landscape continues to evolve, be comfortable with a wide variety of data elements, have an ability to draw insights from that data while being member-centric and promoting an optimal patient experience.

They must serve as the client's gold-standard clinical resource and be knowledgeable of new clinical innovations that are occurring beyond medications, including digital health innovations and new healthcare delivery models.

They will partner with the Health Plan's Pharmacy Director, Medical Director and clinical staff to provide a comprehensive management plan.

They are the client's healthcare consultant and expert and are responsible for providing comprehensive management of clinical strategies, initiatives, and new clinical solution adoption in order to meet the client's and ESI's common goals.

ESSENTIAL FUNCTIONS:


* Leads (and partners with Account Executive) the adoption of clinical solutions to clients through consultative sales methods (e.g.

client P&T presentations, quarterly/annual business reviews, presentation of modeling/reporting ,etc.) in accordance with client business goals and upon collaboration and coordination with account management & internal team members.


* Leads custom formulary management recommendation discussions with client aligning internally with enterprise formulary operational best practices and goals.

Partners with Account Executive, and internal Finance & Formulary Teams to manage rebate performance to meet client contractual rebate guarantees, when applicable.


* Leads the development, preparation, and presentation of healthcare strategy for each client assigned.

Acts in concert with assigned Account Executive and Account Manager to service the health management consultative needs of the client.


* Leads clinical client Strategic Planning and Review Consultation (SPARC) meetings.

Responsible for retention, client loyalty and maximizing solution sales opportunities within assigned portfolio.

Maintains strong client relationships with clients t...