Employee Relations Manager driving wellness objectives and KPIs at BBVA. Leading wellness proposals and maintaining employee retention mechanisms in Peru.
About the role
- Clinical Account Manager overseeing clinical services and client relationships in pharmacy benefits at Abarca. Delivering strategic plans and improving healthcare costs and service levels.
Responsibilities
- Manage the clinical and client relationship component of your assigned accounts and clients’ benefits, ensuring the highest level of service.
- Deliver custom clinical strategic plan designed to address clinical defined objectives.
- Recommend and oversee the implementation of appropriate Clinical Program & Services.
- Responsible for analyzing financial and utilization data to identify opportunities for improving care, controlling drug trend and overall healthcare costs.
- Evaluate Plan Design management opportunities, including formulary composition and management, utilization management, drug coverages, and prior authorization.
- Lead the annual clinical review, providing a comprehensive assessment of the drug benefit program from both a clinical and financial vantage point.
- Actively participates in Abarca P&T Committee meetings and client P&T meetings as per client contract, including provision of clinical material and expertise related to therapeutic class reviews, drug monographs, and drug information.
- Support the Business Development in RFPs, demos, and development of proposals related to clinical services.
- Support the tech division with clinical expertise.
- Other projects or duties as needed.
Requirements
- Doctoral Degree in Pharmacy is required.
- Current and Active Pharmacy License is required.
- 3+ years of clinical experience in pharmacy or managed care setting or completion of a clinical or managed care residency.
- Experience with dashboard tools, such as Power BI and Excel tools.
- Experience with handling multiple projects at once in collaboration with internal and external stakeholders.
- Excellent verbal and written communication skills.
- This position requires availability to work in a specified time zone or working schedule, accommodating the business needs of our clients and team members.
- This position may require availability for on-call hours, including evenings, weekends, and holidays, to promptly address emergent issues or provide necessary support as dictated by operational demands (if applicable).
Benefits
- We are proud to offer a flexible hybrid work model which will require certain on-site workdays (Puerto Rico Location Only).
Job title
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