Full-Time

Clinical Account Manager

Posted on 11/12/2024

SmithRx

SmithRx

201-500 employees

Pharmacy benefit management with transparent pricing

Data & Analytics
Healthcare

Senior

Remote in USA

Applicants must be based in one of the following states: Arkansas, Arizona, California, Colorado, Florida, Georgia, Kansas, Minnesota, Missouri, Nevada, Ohio, Pennsylvania, Tennessee, Texas, Utah, Virginia, Washington, Wisconsin.

Category
Customer Success Management
Sales & Account Management
Required Skills
Data Analysis
Requirements
  • Bachelor’s and Advanced Degree in Pharmacy, RPh or Pharm D
  • Current and unrestricted Pharmacist license (any state)
  • 5+ years of experience working as a licensed pharmacist
  • 3+ years of working knowledge of healthcare benefits, account management, pharmacy benefits, or commercial health insurance preferred
  • 3+ years of experience working in a client-facing role with external clients (beyond patients and prescribers) required
  • Executive-level communication (including developing & delivering formal presentations) and interpersonal skills required
  • A passion for the customer experience and customer satisfaction
  • Dedicated to solving difficult problems together in collaboration with the broader team
  • Self-driven, results-oriented work ethic with a positive outlook
  • Ability to take the initiative with little to no direction
  • Empathic communicator with a consultative approach, able to see things from another person's point of view
Responsibilities
  • Collaborates with clients and account managers to provide clinical expertise, including insights on drug spend and utilization, clinical management strategies, medication alternatives, and formulary compliance.
  • Provides superior clinical consultation and clinical account management with a focus on client satisfaction, client retention, and trend management.
  • Analyzes claims data to identify trends and cost savings opportunities.
  • Comprehends and effectively explains formulary and clinical program's value proposition to clients.
  • Supports communications of formulary changes and program updates for internal and external partners.
  • Recommends clinical programs for clients to provide cost savings to clients and members.
  • Stays current with market trends and provides clinical market intelligence to clients.
  • Communicates drug information to clients and responds to plan-specific clinical inquiries.
  • Creates and updates clinical marketing materials.
  • Collaborates with and provides guidance to account management on clinical aspects of client quarterly reviews (QBRs) – quarterly spend, trends, benchmark updates for pharmacy benefits.
  • Able to incorporate treatment and practice guidelines into client presentations, including up-selling opportunities.
  • Analyzes data and interprets drug benefit designs. Clearly communicates analytical and reporting needs to supporting departments.

SmithRx operates as a Pharmacy Benefit Manager (PBM) that focuses on managing prescription drug plans for self-insured employers and plan sponsors. The company uses a transparent pricing model called "Pass Through Pricing," where it charges only an administrative fee and passes all rebates from prescriptions directly to clients and their members. This model contrasts with traditional PBMs that often inflate drug prices and retain rebates for profit. SmithRx's clients benefit from a technology platform that utilizes real-time data to improve service delivery, ensuring efficient and high-quality pharmacy benefit management. The company also provides a concierge service to enhance support for both members and clients. By prioritizing transparency, advanced technology, and exceptional customer service, SmithRx aims to simplify pharmacy benefits and maximize value for its clients.

Company Stage

Series C

Total Funding

$94.8M

Headquarters

San Francisco, California

Founded

2016

Growth & Insights
Headcount

6 month growth

10%

1 year growth

29%

2 year growth

213%
Simplify Jobs

Simplify's Take

What believers are saying

  • SmithRx's recent $60M Series C funding led by Venrock positions the company for significant growth and innovation in the PBM market.
  • The partnership with Banjo Health to revolutionize prior authorization processes demonstrates SmithRx's commitment to leveraging cutting-edge technology for improved efficiency and transparency.
  • SmithRx's collaboration with TheracosBio to offer newly approved diabetes drugs highlights its dedication to providing cost-effective and essential medications to its members.

What critics are saying

  • The PBM market is highly competitive, and SmithRx must continuously innovate to maintain its unique value proposition.
  • Reliance on the 'Pass Through Pricing' model may limit revenue growth compared to traditional PBMs that profit from rebates and hidden fees.

What makes SmithRx unique

  • SmithRx's 'Pass Through Pricing' model ensures complete transparency by passing 100% of rebates to clients, unlike traditional PBMs that profit from hidden fees and inflated drug prices.
  • The company's robust technology platform leverages real-time data to enhance service offerings, setting it apart from competitors who may rely on outdated systems.
  • SmithRx's concierge service provides exceptional support to both members and customers, further distinguishing it from other PBMs that may lack personalized customer care.

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