You could be the one who changes everything for our 26 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

• Provide clinical expertise to clients, explain clinical programs, and communicate new practice or clinical information to clients
• Develop and present client performance reviews in conjunction with client account team
• Perform clinical data and drug utilization review analysis to meet client requirements and requests
• Provide input into the Request for Proposal process and work with Marketing and Sales to facilitate timely response and data analysis
• Ensure that client clinical needs are met, including clinical program design, drug utilization review and clinical programs
• Participate in the development and management of customized clinical business plans appropriate for each client, including the evaluation of current client program
• Consult with clients to develop and implement appropriate clinical interventions
• Participate in the development of disease state management materials by interfacing with company partners to improve array of marketable products

Clinical Account Manager Roles and Responsibilities (Specialty Pharma)

• Clinical program management includes:

  • Upselling/consulting with clients on clinical programs and services

  • Oversee clinical reporting strategy for client portfolio, including proposing additional clinical programs and reporting that will deliver value to clients

  • Develop clinical strategic plan annually for client portfolio

• Responding to RFPs for client-specific questions on renewals/re-procurement on clinical programs and services

• Monitoring the pipeline for drugs in your client’s target disease states understand developments in therapy

• Project Leadership across multiple clients or lines of business

• Mentor non-Specialty CAMS to help drive value for their clients in Specialty Pharmacy Management

• Collaborate with other members of the Account Team on resolving any clinical issues for your clients

• Consider additional value add projects such as:

  • Precepting pharmacy intern or resident for an account management rotation

  • Revising, Suggesting or creating Clinical Policy and Procedures for Account Management team

• Devise clinical programs for new and expanded Pharma contracts

  • Research patient requirements for pipeline and existing medications

  • Determine best in class solutions to exceed client goals

  • Draft requirements document outlining clinical program including ScriptMed technical requirements

• Attend capabilities and finalist presentations for potential pharma clients. May require:

  • Evaluating client data for opportunities

  • Identifying novel management opportunities

  • Preliminary design of visuals to address emerging specialty pharmacy management strategies

Education/Experience: Bachelor’s degree and licensed qualification in pharmacy (PharmD or RPh). 3+ years of experience with direct patient or payer interaction. Specialty pharmacy experience preferred.

License/Certification: Current state’s pharmacy license (Pharmacist) with no restrictions

Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.