This Clinical Executive position is responsible for all clinical activities, programs and people at ClearScript. The leadership of the Clinical Services Team includes Clinical Account Executives, Clinical Program Managers and Clinical Analysts. Management responsibilities include creating the clinical vision and direction in analysis, research & development, administration and maintenance of clinical programs and formularies managed by ClearScript. This position is also responsible for providing leadership and direction to the client-facing Clinical Account Executives and consistently meeting customer expectations related to service, clinical effectiveness and patient safety; development and implementation of quality measurement and improvement programs, regulatory compliance, program implementation, and effective financial management related to productivity and budgeting in the clinical space. This position serves as the clinical resource and participates in strategic discussions surrounding ClearScript overall business direction as well as potential clients, payer strategies and contracting strategies.
Based in the Twin Cities Metro area, this position will require residency within proximity of the workplace. As this position offers some ability to telecommute, it is the expectation the following requirements of the remote work policy will be met, including but not limited to:
Remote workspace that is clean, safe,andprofessional.
Maintains an internet connection consistent with Fairview standards at remote workspace.
Remain productive and responsive during their scheduled work hours.
Attend primary Fairview location, as needed.
Provide overall leadership, development and day to day direction to the Clinical Services Teams:
People management and direction of formulary operations, utilization management, clinical review processes, product pipeline assessments and product development, and other areas as developed or designated.
People management and direction of clinical account services provided to clients, consistently meeting customer expectations related to service, clinical effectiveness and patient safety, and other areas as developed or designated.
Provide leadership in the clinical development and implementation of quality measurement and improvement programs and regulatory compliance.
Provide cross functional leadership and support in effective financial management related to productivity and budgeting in the clinical space.
Serve as a department resource for escalated client or internal issues pertaining to clinical operations.
Develops and maintains high-level relationships with vendors clinical pharmacy team and facilitates executive level discussions to address ClearScripts clinical pharmacy needs.
Responsible for understanding and application of all clinical programs currently available from our vendor, including DUR, protocols, prior authorization, etc.
Responsible for working with our vendor to direct and coordinate provision of clinical programs and communications to ClearScript clients.
Bachelors or Doctorate degree in Pharmacy
Five to ten years of pharmacy experience, with 3-5 years of managed care experience.
Three to five years experience in clinical pharmacy practice in a managed care setting, including the areas of formulary management and clinical program development and sales.
Experience selling PBM clinical programs to health plans, consultants, brokers, TPAs and plan sponsors.
Experience analyzing complex sales situations and developing creative and successful solutions.
2 years PBM experience managing clinical processes or people
Pharmacy license in good standing
Advanced degree and or pharmacy residency preferred
Advanced consultative selling skills with proven track record of successfully constructing solutions for a multifaceted, broad range of complex issues.
Demonstrated success and resolution-focused interactions with Sales, Account Management, Finance and Product Management teams.
Proven track record of clinical program sales success at the executive level.
Together with the University of Minnesota and University of Minnesota Physicians we have created M Health Fairview. M Health Fairview is the newly expanded collaboration among the University of Minnesota, University of Minnesota Physicians, and Fairview Health Services. The healthcare system combines the best of academic and community medicine — expanding access to world-class, breakthrough care through our 10 hospitals and 60 clinics.
Fairview Health Services (fairview.org) is an award-winning, nonprofit health system providing exceptional care across the full spectrum of health care services. Fairview is one of the most comprehensive and geographically accessible systems in the state, with 10 hospitals—including an academic medical center and long-term care hospital—serving the greater Twin Cities metro area.
Its broad continuum also includes 60 primary care clinics, specialty clinics, senior living communities, retail and specialty pharmacies, pharmacy benefit management services, rehabilitation centers, counseling and home health care services, medical transportation, an integrated provider netwo...rk and health insurer PreferredOne. In partnership with the University of Minnesota, Fairview’s 32,000 employees and 2,400 affiliated providers embrace innovation to drive a healthier future through healing, discovery and education.