Description
Summary
As part of our Clinical Center of Excellence, the Clinical Advisor will serve as a resource to our Services, Product and Client Management teams. This role acts as the pharmacy and medical policy subject matter expert; providing deep knowledge of the pharmacy and medical benefit space and a level of clinical independence to drive new client growth and increased client retention. He/She will be responsible for consultative support, focusing on designated projects depending on specific client needs. This role may work remotely but may require travel to our main office for meetings as designated by the manager of the Clinical CoE.
Major Responsibilities
- Serves as a trusted advisor providing Pharmacy and Medical policy information, insight, and thought leadership
- Researches pertinent policy information in various strategic business initiatives as appropriate to support client solutions
- Supports sales and revenue growth by engaging as a trusted expert in client opportunities through research to support solutions, onsite or video presentations and one on one consultation
- Communicates tactical up-to-date pharmacy and medical policy information in a way that allows clients to understand the impacts of current policy trends
- Partners with, trains and develops various internal personnel to understand and present key Pharmacy and Medical policy findings
- Provides detailed pharmacy analysis(es) working with our internal platforms along with various partners and PBM's decision support tools to justify the election of the appropriate pharmacy solution
- Provides proactive topical pharmacy and medical policy communication(s) to internal staff
- Contributes to Services, Clinical Center of Excellence team as a collaborative partner and subject matter expert
- Assists in the development of the Pharmacy "practice" and helps to implement appropriate changes to our solutions and service(s) to improve client result
- All other duties, as assigned
Qualifications
- BS Pharmacy or PharmD is required
- 5+ years’ experience in the Pharmacy industry working directly with prior authorizations, retail pharmacy, or Specialty pharmacy.
- Comprehensive knowledge of both pharmacy and medical benefit utilization management policies
- Proven ability to exceed expectations and achieve goals
- Excellent presentation and communication skills
- Strong analytical and critical thinking skills
- Strong organization skills with the ability to prioritize in a dynamic environment
- Self-motivated with a strong “can do” attitude
- Additional information
Travel: Limited
Location: Remote on East Coast
Benefits
- Medical & Prescription Drug Benefits
- Health Savings Account (HSA) or Flexible Spending Accounts (FSA)
- Dental & Vision Benefits
- Basic Life and AD&D Benefits
- 401k Retirement Plan with Company Match
- Company Paid Short & Long-Term Disability
- Paid Parental Leave
- Paid Time Off & Company Holidays
Please Note - All candidates must be authorized to work in the United States. We do not provide visa sponsorship or transfers. We are not currently accepting candidates who are on an OPT visa.
The expected base salary for this position ranges from $90,000 to $115,000. It is not typical for offers to be made at or near the top of the range. Salary offers are based on a wide range of factors including relevant skills, training, experience, education, and, where applicable, licensure or certifications obtained. Market and organizational factors are also considered. In addition to base salary and a competitive benefits package, successful candidates are eligible to receive a discretionary bonus.
Norstella is an equal opportunity employer. All job applicants will receive equal treatment regardless of race, creed, color, religion, alienage or national origin, ancestry, citizenship status, age, physical or mental disability or handicap, medical condition, sex (including pregnancy and pregnancy-related conditions), marital or domestic partner status, military or veteran status, gender, gender identity or expression, sexual orientation, genetic information, reproductive health decision making, or any other protected characteristic as established by federal, state, or local law.
All legitimate roles with Norstella will be posted on Norstella’s job board which is located at norstella.com/careers. If a role is not posted on this job board, a candidate should assume the role is not a legitimate role with Norstella. Norstella is not responsible for an application that may be submitted by or through a third-party and candidates should proceed with extreme caution if a third-party approaches them about an open role with Norstella.
Norstella will never ask for anything of value or any type of payment during or as part of any recruitment, interview, or pre-hire onboarding process. If you are aware of or have reason to believe a job posting purportedly for a role with Norstella is fraudulent or otherwise not authorized by Norstella, please contact the Company using the following email address: ApplicationHelp@norstella.com.
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
BS Pharmacy or PharmD required; 5+ years pharmacy industry experience with prior authorizations, retail or specialty pharmacy; comprehensive knowledge of pharmacy and medical benefit policies; strong communication, analytical, and organizational skills; U.S. work authorization required.
Key Responsibilities
- providing clinical expertise
- researching policy information
- supporting client solutions
Job Details
- Category: Healthcare Services - Allied Health
- Seniority: Senior Level
- Commitment: Full Time
- Workplace: Remote — United States
- Salary: USD 90,000 – 115,000 / year
- Languages: English
Benefits
- 401k matching
- Generous paid time off
- Retirement plan
- Generous parental leave
About Norstella
A healthcare data and analytics company providing clinical and pharmacy policy expertise. — Industry: Information Technology