Manager Clinical Pharmacy Client Services
3 semanas atrás
Manager Clinical Pharmacy Client Services Work from home within Oregon, Washington, Idaho or Utah Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system. Who We Are Looking For: Every day, Cambia’s dedicated team of pharmacy leaders are living our mission to make health care easier and lives better. As a member of the pharmacy leadership team, our Manager Clinical Pharmacy Client Services manages a team of clinical pharmacists who provide professional and clinical expertise to clients for making plan decisions including benefit design, formulary, clinical programs, and medical management strategy. This position assists in planning, developing and presenting recommended strategies and solutions inclusive of quality improvement and trend management, with strategies tailored based on industry best practices, evidence-based medicine and alignment with client goals and objectives. The role oversees clinical market facing activities supporting existing accounts, new business sales and strategic account renewals across all territories (OR, WA, ID, UT), working in partnership with the Regional Pharmacy Sales Executive, Regence Sales team, pharmacy clinical services, medical directors, health care services, marketing, operations and key vendors including the Health Plan PBM. Additionally, this role works collaboratively with product development to ensure programs and solutions offered by Cambia deliver distinctive value that meet customer needs, and may also provide oversight and input into state level legislative advocacy and public policy – all in service of creating a person-focused health care experience. As a people leader, you are willing to learn and grow, understanding that leadership is a craft that is continuously honed as you support your team and the lives that depend upon us. Are you ready to shape the future of pharmacy benefits across the Pacific Northwest while mentoring a team of clinical experts? Could you see yourself influencing healthcare policy and legislative advocacy while driving innovation in benefit design and formulary management? Then this role may be the perfect fit. What You Bring to Cambia: Qualifications: Bachelor’s degree in Pharmacy or Pharm.D.; Residency certificate or advanced degree in health care administration, economics, public health, pharmacy administration, finance, or equivalent field preferred 3 years of experience in an external or client facing role, management or professional business experience in a managed health care system, medical group, hospital, or related business in health care delivery industry or an equivalent combination of education and experience Licensed pharmacist in state of practice Skills and Attributes: Strong clinical pharmacy background with demonstrated clinical therapy skills and knowledge, plus comprehensive understanding of health care economics and financing, healthcare and PBM industry dynamics, benefit design, and provider contracting strategies, techniques and operational processes Demonstrated knowledge of compliance related activities, legislative and regulatory activities, state and federal laws and rules regarding pharmacy practice and healthcare industry regulation, combined with project management and coordination abilities Strong business analytical skills with demonstrated ability to review and analyze data from medication claims, and recommend programs and policies to encourage appropriate utilization Demonstrated ability to leverage AI tools and resources to drive efficiency and innovation within area of expertise Ability to translate complex topics into lay terms, excellent verbal and written communication skills, and strong presentation abilities Ability to select, train and lead staff, manage resources and prioritize workload, while functioning effectively as a management team member Strong business acumen combined with demonstrated success in managing matrixed professional business relationships in managed care systems, medical groups, hospitals or related healthcare delivery industry businesses What You Will Do at Cambia: Manages clinical team and provides leadership, mentorship, coaching, and performance management to direct reports; handles hiring, retention, and staff development activities Leads clinical team in supporting finalist presentations, RFPs, producer forums, client meetings, account planning, and employer value reporting Works with multiple departments (sales, marketing, operations, medical management, contracting, analytics) and external vendors to coordinate efforts, identify improvements, and implement sales optimization initiatives Provides comprehensive training to pharmacy sales, account management staff, and stakeholders on pharmacy products, programs, and processes Actively identifies improvement opportunities, champions business cases through implementation, and enhances overall customer experience Ensures service levels meet client agreements and contractual obligations, including state, federal, CMS regulations, and member contract requirements Manages department budget, authorizes expenditures, monitors resource allocation, oversees project plans, and contributes to marketing plans and pharmacy communications As a member of our strong leadership community, you will provide direction to your team, engage them towards common goals and create a positive experience that helps people flourish FTEs Supervised Up to 5 direct reports #LI-Remote The expected hiring range for a Manager Clinical Pharmacy Client Services is $147,100 - $199,000 depending on skills, experience, education, and training; relevant licensure / certifications; and performance history. The bonus target for this position is 25% . The current full salary range for this role is $138,000 - $225,000 . About Cambia Working at Cambia means being part of a purpose-driven, award-winning culture built on trust and innovation anchored in our 100+ year history. Our caring and supportive colleagues are some of the best and brightest in the industry, innovating together toward sustainable, person-focused health care. Whether we're helping members, lending a hand to a colleague or volunteering in our communities, our compassion, empathy and team spirit always shine through. Why Join the Cambia Team? At Cambia, you can: Work alongside diverse teams building cutting-edge solutions to transform health care. Earn a competitive salary and enjoy generous benefits while doing work that changes lives. Grow your career with a company committed to helping you succeed. Give back to your community by participating in Cambia-supported outreach programs. Connect with colleagues who share similar interests and backgrounds through our employee resource groups. We believe a career at Cambia is more than just a paycheck – and your compensation should be too. Our compensation package includes competitive base pay as well as a market-leading 401(k) with a significant company match, bonus opportunities and more. In exchange for helping members live healthy lives, we offer benefits that empower you to do the same. Just a few highlights include: Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits. Annual employer contribution to a health savings account. Generous paid time off varying by role and tenure in addition to 10 company-paid holidays. Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period). Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave). Award-winning wellness programs that reward you for participation. Employee Assistance Fund for those in need. Commute and parking benefits. Learn more about our benefits. We are happy to offer work from home options for most of our roles. To take advantage of this flexible option, we require employees to have a wired internet connection that is not satellite or cellular and internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb. We are an Equal Opportunity employer dedicated to a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required. If you need accommodation for any part of the application process because of a medical condition or disability, please email Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy. #J-18808-Ljbffr
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