Department

Job Title

Capital Rx is redefining the way prescriptions are priced and administered in the U.S. Capital Rx unlocks the pharmacy supply chain and reduces prescription costs for employer groups. By establishing a competitive marketplace for drug pricing, Capital Rx focuses its resources on deploying actionable strategies that improve plan performance and patient outcomes. The company's commitment to innovation, technology, and service is why Capital Rx is the fastest-growing pharmacy benefit manager in America.

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Operations

Director, Clinical Client Services

Location: Remote (For Non-Local) with client and sales travel

Position Summary:

As Director of Clinical Client Services at Capital Rx, the expectation is to provide superior management to our clinical account managers and clients alike. The role entails team management within our PBM business, including health systems, labor/union, public and employer groups. Clinical expertise, trend and relationship management and leadership skills are key for success.

Position Responsibilities:

• Provide oversight of clinical account management team as direct supervisor with a focus on member and client satisfaction, trend management, and client retention
• Partner with account team members to provide best-in-class member and client service for complex clients
• Identify and lead resolution efforts of client and member issues as it impacts multiple clients across market segment
• Identify and lead process improvement efforts
• Analyze and interpret pharmacy claims data to identify clinical trends and insights for individual clients, across multiple clients, and across book of business
• Create and provide oversight of comprehensive client relationship strategy plans
• Provide input and clinical guidance for coalition or other multi-client group strategies
• Coach team on interpretation of clinical trends, relevant pharmacy data, and providing recommendations with supportive rationale for clinical management strategies
• Interpret current pharmacy and healthcare trends and provide proactive recommendations for client healthcare strategy plans across vertical
• Incorporate treatment & practice guidelines, clinical education, pharmacy pipeline, and broad market analysis into team coaching and client presentations
• Comprehend and effectively explain formulary and clinical programs to team, including member experience, book of business experience, and competitive market experience
• Coach on communication of drug information to clients and respond to plan-specific clinical inquiries
• Collaborate with cross-functional teams to support sales initiatives, requests for information (RFI), requests for proposal (RFP), and prospect presentations
• Drive key internal and external initiatives and general business needs/operations, be accountable for team execution and completion of projects
• Provide ongoing direction, mentoring, coaching to team and provide feedback for growth
• Responsible for adherence to the Capital Rx Code of Conduct, including reporting of non-compliance

Minimum Qualifications:

• Bachelor of Pharmacy (B.S. Pharmacy) or Doctor of Pharmacy (PharmD) degree from an accredited institution, with record of strong academic performance
• Relevant experience for at least seven (7) years in pharmacy - health plan, managed care, or pharmacy benefits management (PBM) experience preferred; or completion of managed care residency
• Prior account management experience of at least three (3) years preferred
• Proficient in Microsoft Office Suite with emphasis on Microsoft Excel
• Experience working with large datasets and analyzing raw data in Excel
• Ability to balance multiple complex projects simultaneously
• Exceptional written and verbal communication skills
• Flexible, highly organized, and able to shift priorities easily
• Attention to detail & commitment to delivering high quality work product
• Ability to travel and present to small and large groups

Preferred Qualifications:

• Multi-year experience of people management within the PBM space

Base Salary: $160,000 - $175,000

Nothing in this position description restricts management’s right to assign or reassign duties and responsibilities to this job at any time.

About Capital Rx

Capital Rx is a full-service pharmacy benefit manager (PBM) and pharmacy benefit administrator (PBA), advancing our nation’s electronic healthcare infrastructure to improve drug price visibility and patient outcomes. As a Certified B Corp™, Capital Rx is executing its mission through the deployment of JUDI®, the company’s cloud-native enterprise health platform, and a Single-Ledger Model™, which increases visibility and reduces variability in drug prices. JUDI connects every aspect of the pharmacy ecosystem in one efficient, scalable platform, servicing millions of members for Medicare, Medicaid, and commercial plans. Together with its clients, Capital Rx is reimagining the administration of pharmacy benefits and rebuilding trust in healthcare.

Capital Rx values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

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