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Clinical Account Manager

Company: Magellan Health
Location: Albany
Posted on: October 12, 2021

Job Description:

Plays a key role in various multi-functional projects critical to the company in achieving its clinical and operational goals and objectives. Develops, implements and monitors clinical specialty programs in the field. Serves as clinical liaison for assigned Pharmacy contract(s). Manages overall client relationship. Participates in the development of clinical management products and services. Activities address impact on customers, operations, program integrity, pricing, quality and satisfaction. Develops and tracks the appropriate metrics to monitor the quality and care cost impact of the client's program. Requires communication across all departments, an understanding of the strategic impact of the program(s) for the company, knowledge of how the specialty programs integrate with other clinical initiatives, and expertise with data management.

  • Leads the development of clinical program enhancements and better practices. 
  • Assists with development, enhancement, and maintenance of operational functions, policy and clinical support and provider education.
  • Develops, implements, and monitors project plan requirements and timelines, ensures all necessary support, tools and technology are available, and follows up as needed. Meets with business process owners and other appropriate personnel to identify the project's goals, objectives, critical success factors, and success measures.
  • Works closely with teams to ensure consistent delivery of approved programs to their client. 
  • Ensures operations are standardized at the fullest extent possible.
  • Provides overall project coordination for the contract's clinical and operational functions.
  • Oversees and coordinates implementation of new specialty programs and serves as liaison between the company and customers as needed.
  • Assists in modifying implementation approaches within budget and operational framework.
  • Revenue Generation - Works jointly with Account Manager to ensure revenue goals, administrative expenses are managed.
  • Develops strong relationships with key contacts at client level.
  • Develops strong relationships and contacts within the company that are supportive of the achievement of increased revenue goals.
  • Supports other functions as requested throughout the program development lifecycle including finance, outcomes, communications and IT.
  • Communicates frequently, either by phone or in person, with client to report program progress. 
  • Establishes priorities and maintains positive client relationship.
  • Responds to client's requests for information. 
  • Assesses, investigates and resolves difficult issues to achieve customer satisfaction.
  • Maintains contract's Preferred Drug List.
  • Responsible for oversight of all program reporting.
  • Ensures standard and ad hoc reports are provided accurately and on time.
  • Supports the State Drug Utilization Review Boards and Pharmacy and Therapeutics (P&T) Committee.

Other Job Requirements


- Proven ability to plan, organize, schedule, direct, control and monitor project activities. - Well-developed interpersonal skills. - Able to perform basic financial analysis.5+ years in clinical operations, quality, network, pharmacy or project management. Project management experience and knowledge of health plans required. Provider experience preferred.

General Job Information


Clinical Account Manager



Work Experience

Marketing, Pharmacy, Project/Program Management


Bachelors: Pharmacy (Required), PharmD: Pharmacy

License and Certifications - Required

RPH - Registered Pharmacist - Pharmacy

License and Certifications - Preferred

PharmD - Doctor Of Pharmacy, State Licensure - Pharmacy

Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.
Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their
position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.

Keywords: Magellan Health, Albany , Clinical Account Manager, Other , Albany, New York

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