Clinical Account Manager
Description
Foundation Risk Partners, one of the fastest growing insurance brokerage and consulting firms in the US, is adding a Clinical Account Manager to their ARMSRx team.
Job Summary:
Serve as a trusted clinical advisor for ARMSRx pharmacy benefit consulting clients. This role combines clinical expertise, strategic consulting, analytics, and relationship management to help clients optimize pharmacy benefits, improve member outcomes, manage pharmacy spend, assess PBM performance, and evaluate emerging market developments.
Essential Functions:
- Serve as the primary clinical consultant for an assigned portfolio of clients and broker partners.
- Build trusted relationships with client stakeholders and participate in client meetings, strategic reviews, and quarterly business reviews.
- Provide recommendations related to formulary management, specialty pharmacy, utilization management, benefit design, and emerging pharmacy trends.
- Translate complex clinical and industry concepts into practical, actionable recommendations.
- Monitor emerging drugs, specialty therapies, biosimilars, GLP-1 medications, gene therapies, and other market developments.
- Assess PBM performance and help clients evaluate clinical programs, point solutions, and vendor offerings.
- Provide clinical oversight and support related to high-cost claims, specialty utilization, prior authorization, and appeals, as applicable.
- Partner with analytics to interpret claims data and develop client-facing clinical and financial recommendations.
- Collaborate with Account Executives, Project Management, Operations, and leadership to deliver consulting services and client solutions.
- Support PBM RFPs, vendor evaluations, implementations, educational materials, webinars, thought leadership, and prospect meetings.
Competencies & Qualifications:
- Strategic and consultative mindset with strong business acumen.
- Ability to build credibility with clients, brokers, PBMs, vendors, and internal partners.
- Excellent written and verbal communication, presentation, and relationship management skills.
- Strong analytical, problem-solving, and strategic thinking abilities.
- Ability to communicate complex clinical information to diverse audiences.
- Collaborative, innovative, and solution-oriented approach with a commitment to measurable client value.
Education & Experience:
- Doctor of Pharmacy (PharmD) degree required.
- Active pharmacist license in good standing required.
- 5+ years of experience in pharmacy benefit consulting, managed care pharmacy, a PBM, health plan, or a related pharmacy benefit role.
- Strong understanding of PBMs, formulary strategy, specialty pharmacy, utilization management, rebates, and pharmacy benefit plan design.
- Experience supporting employers, TPAs, brokers, coalitions, or health systems preferred.
- Experience with PBM evaluations, RFPs, contract reviews, vendor assessments, claims analysis, and client presentations preferred.
This range represents the estimated low and high end of the salary range for this position. Actual salaries will vary and may be above or below the range based on factors including but not limited to performance, location, and experience. The range listed is just one component of FRP's total compensation package for employees.
Disclaimer:
While this job description is intended to be an accurate reflection of the job requirements, management reserves the right to modify, add, or remove duties from particular jobs and to assign other duties as necessary.
Equal Employment Opportunity (EEO):
FRP provides equal employment opportunity to qualified persons regardless of race, color, sex, religion, national origin, age, sexual orientation, gender identity, disability, veteran status, or any other classifications protected by law.
Benefits:
FRP offers a comprehensive range of health-related benefit options including medical, vision, and dental. We offer a 401(k) with company match, company paid life insurance, STD, LTD and a generous PTO policy starting at 18 days per year plus 10 paid holidays & 2 floating holidays!
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