Clinical Program Manager - Remote

$125,200 - $200,000/Yr

Prime Therapeutics - Boston, MA

Full-time - Mid Level

Remote - Boston, MA

Administrative and Support Services

About the position

The Clinical Program Manager is responsible for managing client-specific clinical programs and drug strategy recommendations, including formulary management and Utilization Management programs. This role serves as the primary contact for designated BCBS clients, promoting Prime's offerings and building relationships with key clinical stakeholders through consultative services.

Responsibilities

• Coordinate formulary management for the client, including decision making and implementation of Pharmacy & Therapeutics (P&T) or business committee processes.
• Provide consultation and recommendations regarding clinical program opportunities, formulary recommendations, and benefit design.
• Support the client's Health Insurance Marketplace business with clinical guidance.
• Manage incoming requests for information related to drug therapy and clinical programs, collaborating with the analytics team to present meaningful data to the client.
• Present Prime's products and services to stakeholders and coordinate custom clinical pharmacy programs.

Requirements

• PharmD or Bachelor of Science Pharmacy degree
• Current pharmacist license in good standing with State Board of Pharmacy
• 3 years of relevant work experience in a retail, hospital, clinical, or managed care setting, including at least 2 years in a clinical or managed care setting
• Eligibility to work in the United States without a work visa or residency sponsorship.

Nice-to-haves

• PBM Experience
• 1 year of direct client management experience
• 1 year of clinical account management experience
• Knowledge of applicable lines of business (e.g., Medicare, Medicaid, Exchange, Commercial, Employer Group)

Benefits

• Health insurance
• Dental insurance
• Vision insurance
• 401k plan
• Paid holidays
• Paid time off
• Flexible scheduling
• Professional development opportunities
• Employee discount programs