Foundationriskpartners
Clinical Account Manager
Tallahassee, Florida, United States. Posted 22 days ago
The role
Serve as a clinical advisor for ARMSRx pharmacy benefit consulting clients. This role uses clinical expertise, strategic consulting, analytics, and relationship management to optimize pharmacy benefits and manage pharmacy spend.
What you will do
- Serve as the primary clinical consultant for an assigned portfolio of clients and broker partners.
- Build trusted relationships with client stakeholders and participate in client meetings, strategic reviews, and quarterly business reviews.
- Provide recommendations related to formulary management, specialty pharmacy, utilization management, benefit design, and emerging pharmacy trends.
- Translate complex clinical and industry concepts into practical, actionable recommendations.
- Monitor emerging drugs, specialty therapies, biosimilars, GLP-1 medications, gene therapies, and other market developments.
- Assess PBM performance and help clients evaluate clinical programs, point solutions, and vendor offerings.
- Provide clinical oversight and support related to high-cost claims, specialty utilization, prior authorization, and appeals.
- Partner with analytics to interpret claims data and develop client-facing clinical and financial recommendations.
- Collaborate with Account Executives, Project Management, Operations, and leadership to deliver consulting services and client solutions.
- Support PBM RFPs, vendor evaluations, implementations, educational materials, webinars, thought leadership, and prospect meetings.
Required qualifications
- Doctor of Pharmacy (PharmD) degree
- Active pharmacist license in good standing
- 5+ years of experience in pharmacy benefit consulting, managed care pharmacy, a PBM, health plan, or a related pharmacy benefit role
- Strong understanding of PBMs, formulary strategy, specialty pharmacy, utilization management, rebates, and pharmacy benefit plan design
- Strategic and consultative mindset with strong business acumen
- Ability to build credibility with clients, brokers, PBMs, vendors, and internal partners
- Excellent written and verbal communication, presentation, and relationship management skills
- Strong analytical, problem-solving, and strategic thinking abilities
- Ability to communicate complex clinical information to diverse audiences
- Collaborative, innovative, and solution-oriented approach
Nice to have
- Experience supporting employers, TPAs, brokers, coalitions, or health systems
- Experience with PBM evaluations, RFPs, contract reviews, vendor assessments, claims analysis, and client presentations
Benefits
- Medical
- Vision
- Dental
- 401(k) with company match
- Company paid life insurance
- STD
- LTD
- PTO starting at 18 days per year
- 10 paid holidays
- 2 floating holidays
About the company
Foundation Risk Partners is one of the fastest growing insurance brokerage and consulting firms in the US.