Clinical Account Manager

Centene
Missouri
Workplace: RemoteFull timeUSD 107,700 - 199,300 annuallyFunction: Customer Success & Account ManagementExperience: 3+ yearsEducation: professionalSkills: ["Client communication","Analytical thinking","Cross-functional collaboration","Program management"]

Provide clinical expertise to clients on designing and explaining benefits and clinical programs that optimize therapeutic outcomes while maintaining economic efficiency. Partner with account teams, marketing, and sales to develop clinical products, respond to RFP needs, and deliver performance reviews. Conduct clinical data and drug utilization review analysis, collaborate with clinical pharmacists to improve utilization/prior authorization processes, and support formulary and disease-state management modules.

Loading

Loading job details...

Preparing the role view and application actions.

FursaFursa
Centene
Centene
1 day ago

Clinical Account Manager

✓ Verified Job

Canonical indexed version, validated from employer's careers page.

Source: Company careers pageValidated by: Fursa AI
Last checked: 10 hours agoStatus: Live

Job Summary

Provide clinical expertise to clients on designing and explaining benefits and clinical programs that optimize therapeutic outcomes while maintaining economic efficiency. Partner with account teams, marketing, and sales to develop clinical products, respond to RFP needs, and deliver performance reviews. Conduct clinical data and drug utilization review analysis, collaborate with clinical pharmacists to improve utilization/prior authorization processes, and support formulary and disease-state management modules.
Location: Missouri
Workplace: Remote
Employment Type: Full time
Job Function: Customer Success & Account Management
Seniority: Mid level

Key Responsibilities

  • •Provide clinical expertise to clients on benefits/clinical program design to optimize therapeutic outcomes and economic efficiency.
  • •Explain clinical programs and communicate new practice or clinical information to clients.
  • •Perform clinical data and drug utilization review analysis to meet client requirements and requests.
  • •Collaborate with clinical pharmacists to enhance drug utilization review and prior authorization review processes.
  • •Support formulary management and clinical interventions, including development of customized clinical business plans and disease state management modules.
Travel: Low travel

Pay and Benefits

Salary: USD 107,700 - 199,300 annually
Perks:Health Insurance401kEquityPaid LeaveRemote Work

Key Requirements

  • •Bachelor’s degree and licensed pharmacy qualification (PharmD. or RPh).
  • •3+ years of experience in clinical pharmacy operations or case management; clinical pharmacy operations or case management preferred.
  • •Direct experience interfacing with payers and/or manufacturers is preferred.
  • •Current state’s pharmacy license with no restrictions.
Experience:3+ yearsHealthcareSpecialty pharmacyPharmacy operationsCase management
Education:Professional (JD, MD, etc.)
Skills:Client communicationAnalytical thinkingCross-functional collaborationProgram management
Licenses:State pharmacy license

Company Brief

Centene
Centene Corporation is a diversified, multinational healthcare enterprise that provides government-sponsored and commercial healthcare programs and services, specializing in Medicaid, Medicare, and specialty benefits management across the United States.
Industry: Health Insurance (Payers)
Company Size: Enterprise (1,001+ employees)
Revenue: USD 1B+
Growth: Public Company
Valuation: Public Company (Market Cap in USD)
Funding: IPO / Publicly Listed
Headquarters: St. Louis, United States
Founded: 1984
WebsiteLinkedIn