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Job Posting Title

Clinical Program Manager Must Reside in or Around Birmingham, AL - RemoteJob Description

We are looking for a Clinical Program Manager for our Birmingham, AL plan. If you live in Alabama and would like to do some traveling, you will want to take a look at this opportunity!

This person will live in the greater Birmingham, AL area or within driving distance. The Clinical Program Manager is responsible for the management of all client specific clinical programs and drug strategy recommendations including drug formulary, Utilization Management programs, and other drug therapy related products and services offered by Prime. As the primary point of contact for their designated BCBS clients, the director promotes and recommends Prime standard offerings to meet client requirements and builds strong relationships with key clinical stakeholders through effective consultative services.

Responsibilities

Coordinate formulary management for the client including, client specific Pharmacy &Therapeutics (P&T) or business committee decision making and implementation, oversight of formulary publications, oversight of formulary information in all provider and member materials and communications, and product ownership for Medicare and Medicaid formulariesProvide consultation and recommendations to the client regarding Prime standard clinical program opportunities, formulary recommendations, benefit design recommendations, and other research applications and opportunities beneficial or of interest to the planProvide clinical guidance and support for client’s Health Insurance Marketplace businessManage incoming requests for information from the plan regarding drug therapy, formulary and clinical program related issues and partner with reporting and analytics team to present meaningful information back to the clientPresent Prime’s products, services and recommendations to internal and external stakeholders and work in cooperation with Prime’s operational teams to coordinate and lead client specific custom clinical pharmacy programsOther duties as assigned

Minimum Qualifications

Doctor of Pharmacy (PharmD) or Bachelor of Science Pharmacy DegreeCurrent pharmacist license in good standing with State Board of Pharmacy3 years of relevant work experience in a retail, hospital, clinical and/or managed care setting, including at least 2 years of work experience in a clinical and/or managed care settingMust be eligible to work in the United States without need for work visa or residency sponsorship

Additional Qualifications

Strong verbal and written communicationAbility to think strategically and demonstrate strong problem solving skillsAbility to balance and prioritize multiple responsibilities and deliverablesExperienced and effective working in teams

Preferred Qualifications

Current pharmacist license in good standing with the Board of PharmacyPBM Experience1 year of direct client management experience1 year of clinical account management experienceKnowledge of the applicable line of business (e.g., Medicare, Medicaid, Exchange, Commercial, Employer Group)

Minimum Physical Job Requirements

Ability to travel up to 20% of the timeConstantly required to sit, use hands to handle or feel, talk and hearFrequently required to reach with hands and armsOccasionally required to stand, walk and stoop, kneel, and crouchOccasionally required to lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 poundsSpecific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus

Reporting Structure

Reports to a Director in Clinical Program Management department

Potential pay for this position ranges from $117,600.00 - $188,000.00 based on experience and skills. Pay range may vary by 8% depending on applicant location.

To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail.

Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information, veteran status, marital status, pregnancy or related condition (including breastfeeding), expecting or parents-to-be, or any other basis protected by law. 

We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.

Prime Therapeutics LLC is a Tobacco-Free Workplace employer.

Positions will be posted for a minimum of five consecutive workdays.