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They will partner with the Health Plan's Pharmacy Director, Medical Director and clinical staff to provide a comprehensive management plan. Shares best practice standards with broader CAE peer audience as well as clients and demonstrates understanding and interpretation of current industry drug trends and how those trends may impact the health plan client's healthcare benefit.
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The Clinical Account Executive (CAE) position is an exciting opportunity for a pharmacist who is looking to leverage their pharmacy and healthcare expertise to meet the Health Plan client’s strategic goals and drive improved clinical and financial outcomes for their membership.
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Acts in concert with assigned Account Executive and Account Manager to service the health management consultative needs of the client. Participation in process improvement initiatives to support the health plan healthcare benefit adapt and innovate to trends in the market.
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Job DescriptionJOB DESCRIPTIONThe Clinical Account Executive (CAE) position is an exciting opportunity for a pharmacist who is looking to leverage their pharmacy and healthcare expertise to meet the Health Plan client’s strategic goals and drive improved clinical and financial outcomes for their membership.
$101,250 - $168,750 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Participating in the administration of the Serve You Rx suite of clinical programs such as drug utilization review, prior authorization review, health outcomes measurement, disease state management, care management, specialty drug management, and other programs.
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EmpiRx Health is the leading clinically-driven, customer-first PBM company that puts the pharmacist at the center of its service model to optimize member care while substantially reducing costs for plan sponsors.
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They must serve as the client’s gold-standard clinical resource and be knowledgeable of new clinical innovations that are occurring beyond medications, including digital health innovations and new healthcare delivery models.
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Leads (and partners with Account Executive) the adoption of clinical solutions to clients through consultative sales methods (e.g. client P&T presentations, quarterly/annual business reviews, presentation of modeling/reporting ,etc.
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The strategic plan should address critical business metrics such as member and client satisfaction, clinical support and clinical solution program adoption – with a goal to deliver lower healthcare costs and optimal clinical outcomes.
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Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. They are the client’s healthcare consultant and expert and are responsible for providing comprehensive management of clinical strategies, initiatives, and new clinical solution adoption in order to meet the client’s and ESI’s common goals.
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In this role the CAE will use their deep understanding of the pharmacy/healthcare landscape and pipeline, as well as strong clinical, analytical, financial, and business skills to develop and present a comprehensive strategy aligning and supporting to the client’s strategic goals.
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Functions as primary clinical resource and new solution product expert for the client. Leads the development, preparation, and presentation of healthcare strategy for each client assigned.
$101,250 - $168,750 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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The CAE independently manages a book of moderately complex clients requiring this role to think forward into the future as the healthcare landscape continues to evolve, be comfortable with a wide variety of data elements, have an ability to draw insights from that data while being member-centric and promoting an optimal patient experience.
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This role is also anticipated to be eligible to participate in an incentive compensation plan. Partners with Account Executive, and internal Finance & Formulary Teams to manage rebate performance to meet client contractual rebate guarantees, when applicable.
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The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support.
$101,250 - $168,750 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago
the health plan jobs Title: account executive clinical in Grand-island, Nebraska
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