Senior Director, Vice President of Clinical Services at Advantage Point Solutions (APS), part of The Lockwood Group, leading drug information and payer strategy initiatives for pharmaceutical clients.
Responsibilities
Provide expert opinions to APS staff and clients regarding clinical value of drugs and drug classes to payers
Support APS staff and clients with broad-based drug information expertise in all therapeutic areas
Conduct drug information research and other clinical and non-clinical research activities to understand payer perceptions
Serve as a resource regarding payer rationales and approaches for Prior Authorizations, step-therapy edits and other coverage rules
Prepare documents describing commercial viability, competition and payer coverage practices for new business assets
Define and develop formularies, implement medication therapy management programs, evaluate performance, provide clinical guidance, and support clinical program initiatives across multiple health plans.
Compensation
Pay Range: $107,700.00 - $199,300.00 per year
Responsibilities
Define and develop standard and custom formularies for complex or specialized medications
Develop and implement medication therapy management programs
Evaluate program performance and recommend changes
Ensure and evaluate quality controls and implement performance improvement opportunities
Provide clinical guidance and support to various departments
The Senior Clinical Consultant serves as the primary liaison between OptumRx clinical operations, professional practice, and clinical products and the Clinical Consultant’s assigned client base. The role provides clinical support for OptumRx account management, operations, information technology, and other internal departments.
Locations (3)
United States
Minneapolis, Minnesota, United States
Washington, D.C., District of Columbia, United States
Responsibilities
Provide superior clinical consultation and clinical account management with a focus on client satisfaction, client retention, and trend management
Collaborate with clients to establish achievable but aggressive clinical program goals, including generic dispensing rate improvements, implementation of utilization management programs, improvement in medication adherence rates, improvements in therapy gaps for key chronic disease states, formulary compliance targets, and HEDIS & NCQA measures where applicable
Develop and communicate clinical recommendations, educational materials, and formulary-related messaging to physicians, members, clients, consultants, and other stakeholders.
Support formulary management activities by evaluating medications, reviewing clinical evidence, and providing input into formulary and clinical policy recommendations.
Assist in the development, implementation, and maintenance of pharmacy and medical benefit management programs.
Partner with clients to communicate clinical program performance, outcomes, and recommendations.
Evaluate clinical literature, treatment guidelines, and emerging therapies to assess effectiveness, safety, and value.
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