Clinical Consultant
Catamaran - Philadelphia, PA

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Serving as the primary liaison between FutureScripts Clinical Services to the client. The Clinical Consultant will provide clinical support to Operations, IT, and Customer Service Pharmacy Technicians, claims processing system, and plan development as it relates to clinical operations; functioning as a Clinical account manager for the client in all aspects.

Responsibilities

Providing superior clinical consultation and account management with a focus on client retention/satisfaction and trend management
Resolve issues and identify opportunities for improvement
Supporting Catamaran and client specific Pharmacy and Therapeutics functions and responsibilities
Providing drug information and clinical support for Customer Service Pharmacy Technicians; providing clinical input and support for claims processing programs
Supporting corporate clinical pharmacy operations, as needed
Analyzing existing benefit designs; understanding the implications of making various changes to the benefit design
Reporting CMS deliverable dates for client PGs
Supporting elevated customer service and prior authorization inquiries specific to assigned accounts
Providing Ad-hoc reporting as needed
Providing education for clients, pharmacists, members, and physicians, including one-on-one physician visits and implementation of educational programs, as needed
Performing other duties as assigned to meet corporate objectives

Qualifications

Doctor of Pharmacy or equivalent required with current licensure. Qualified candidates should have 2+ years of experience at PBM or health plan, at least 1 year in a client facing role. Candidates must possess the ability to build solid relationships with clients' key decision makers to ensure a strong, cohesive business relationship is established and maintained. Ability to develop strong relationships with internal partners as well. Must exhibit accurate and solid judgment in handling complex and interpersonal issues. Must be an effective communicator with strong presentation skills, creative and analytical, influential and demonstrate strength in networking internally and externally and possess negotiation skills.

Catamaran - 14 months ago - save job - block
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About this company
31 reviews
Catamaran offers a true alternative to the status quo in pharmacy benefit management. You don’t have to choose between...