Change Healthcare Pharmacist-Clinical Account Manager in Springfield, Illinois
Opportunities at Change Healthcare, part of the Optum family of businesses. We are transforming the health care system through innovative technology and analytics. Find opportunities to make a difference in a variety of career areas as we all play a role in accelerating health care transformation. Help us deliver cutting-edge solutions for patients, hospitals and insurance companies, resulting in healthier communities. Use your talents to improve the health outcomes of millions of people and discover the meaning behind: Caring. Connecting. Growing together.
Pharmacist-Clinical Account Manager
Overview of Position
The Pharmacist-Clinical Account Manager is responsible for leading the effort to identify, quantify, and develop actionable cost containment strategies. The Clinical Account Manager will also implement pharmacy benefit design best practices to optimize the financial management of the pharmacy benefit while improving health outcomes.
Location: This is a remote/telecommuter position that may require, when travel normalizes, 1-2 overnight trips per month to Columbus, Ohio.
What will be my duties and responsibilities in this job?
Oversee and implement quality improvement efforts
Accountable for pharmacy and medical claim data mining and analysis in support of developing cost containment strategies
Accountable for analysis and reporting of key pharmacy benefits metrics and success measures
The Clinical Account Manager will assist contractors and staff on all matters related to rate setting
Accountable for preferred drug list (PDL) design and all clinical reporting
Accountable for strategy development and execution to optimize mandatory Federal, State Supplemental and Medical Supply rebate revenue
Supports and serves as back-up for the Account Manager and Clinical Pharmacist as appropriate
What are the requirements needed for this position?
Minimum of three years experience with Medicaid or a large private sector pharmacy benefits manager
Previous experience working with drug compendia/databases
Demonstrated knowledge in the clinical therapeutic groupings of drugs using various data elements available through drug databases such as First Data Bank and/or Medispan
Demonstrated knowledge of CMS rules, regulations, and guidance regarding Medicare and Medicaid
Ohio-licensed registered pharmacist in good standing
Pharm.D. degree, MBP, MHA, MPA or other advanced business degree or comparable work experience
What are the working conditions and physical requirements of this job?
General office demands
How much should I expect to travel?
This is a remote/telecommuter position that may require, when travel normalizes, 1-2 overnight trips per month to Columbus, Ohio.
Employees in roles that require travel will need to be able to qualify for a company credit card or be able to use their own personal credit card for travel expenses and submit for reimbursement.
California / Colorado / New Jersey / New York / Rhode Island / Washington Residents Only:
The applicable base pay for your state is listed below. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, Change Healthcare offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with Change Healthcare, you’ll find a far-reaching choice of benefits and incentives.
The base pay range for this position is $76,140.00 - $203,040.00
Diversity, Equity & Inclusion :
•At Change Healthcare, we include all. We celebrate diversity and inclusivity, respect each other and value our unique experiences. By being our authentic selves, we bring different perspectives into our work and relationships.•Business Resource Groups (BRGs) play a central role in advancing diversity and inclusion at Change Healthcare. They deepen our understanding of different cultures, people, and experiences, and help foster an inclusive workplace. Change offers eight (8) BRGs. Learn more at https://careers.changehealthcare.com/diversity Feeling Inspired? Ready to #MakeAChange? Apply today!
COVID Vaccination Requirements
We remain committed to doing our part to ensure the health, safety and well-being of our team members and our communities. As such, some individuals may be required to disclose COVID-19 vaccination status prior to or during employment. Certain roles may require COVID-19 vaccination and/or testing as a condition of employment. Change Healthcare adheres to COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance.
Equal Opportunity/Affirmative Action Statement
Change Healthcare is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status. To read more about employment discrimination protections under federal law, read EEO is the Law at https://www.eeoc.gov/employers/eeo-law-poster and the supplemental information at https://www.dol.gov/ofccp/regs/compliance/posters/pdf/OFCCP_EEO_Supplement_Final_JRF_QA_508c.pdf .
If you need a reasonable accommodation to assist with your application for employment, please contact us by sending an email to
Click here https://www.dol.gov/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf to view our pay transparency nondiscrimination policy.
California (US) Residents: By submitting an application to Change Healthcare for consideration of any employment opportunity, you acknowledge that you have read and understood Change Healthcare’s Privacy Notice to California Job Applicants Regarding the Collection of Personal Information (https://www.changehealthcare.com/privacy-notice/privacy-notice-to-california-job-applicants) .
Change Healthcare maintains a drug free workplace and conducts pre-employment drug-testing, where applicable, in accordance with federal, state and local laws.
Change Healthcare is an equal opportunity employer. All qualified applicant will reveive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status.
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