Clinical Account Executive

Clinical Account ExecutiveThe Judge Group

Location: Montvale, NJEmployment Type: Full-Time

Department: Care ManagementWork Environment: OnsiteSalary Range: $102,000–$145,000 annuallyPosition OverviewThe Judge Group is seeking an experienced Clinical Account Executive to serve as the primary clinical lead for assigned client accounts.

This role provides strategic guidance, clinical oversight, and population health management to support pharmacy benefit goals, improve clinical outcomes, and manage costs.The Clinical Account Executive evaluates clinical program performance, delivers actionable insights, monitors clinical savings and cost trends, and collaborates with internal teams and external stakeholders to meet clinical guarantees and enhance the member experience.Key ResponsibilitiesClinical Account LeadershipServe as the clinical expert for assigned accounts, providing guidance on pharmacy benefit design, program performance, and population health trends.Maintain client playbooks and a thorough understanding of each account’s benefit design, formulary, and customizations.Participate in quarterly and annual performance reviews and ongoing client meetings to present clinical outcomes, cost trends, and strategic recommendations.Deliver responsive, personalized service and proactive clinical guidance.Population Health ManagementApply population health management strategies, including Johns Hopkins ACG risk stratification tools.Interpret and present population health dashboard data to help clients understand member health trends and risk assessments.Translate clinical findings into actionable recommendations.Clinical Savings and Cost ManagementTrack and manage per-member-per-month (PMPM) cost trends and clinical risk.Monitor new-to-market medications, first-time generics, and biosimilars to identify proactive clinical strategies.Support clinical savings reconciliation during high-volume periods.New Client ImplementationRecommend appropriate clinical programs, formularies, and benefit configurations during onboarding.Review incumbent pharmacy benefit manager (PBM) documents, including Summary Plan Descriptions (SPDs), and advise on drug coverage and plan structure.Coordinate transition-of-care activities, including appropriate overrides and member and prescriber communications.Clinical Tools and ReportingPrepare ad hoc clinical reports, drug lists, and customized client communications.Use clinical resources such as IPD, UpToDate, MediSpan, and Policy Reporter to support clinical decision-making and monitor drug pipeline developments.Cross-Functional CollaborationCollaborate with Care Management, Prior Authorization, Plan Build, Client Experience, Formulary, Underwriting, Marketing, and Analytics teams.Serve as the clinical liaison for external partners and vendors supporting assigned clients.Respond promptly and accurately to internal and external clinical inquiries.Support special projects and initiatives to improve clinical operations and workflows.Cross-train in Population Health Executive functions to provide coverage during peak demand.Required QualificationsDoctor of Pharmacy (PharmD) degree.Active pharmacist license in good standing.Five years of experience in pharmacy benefit management, clinical account management, or healthcare consulting.Strong background in clinical program development and drug utilization review.Experience analyzing client prescription data and translating findings into recommendations.Experience providing ongoing client support and promoting clinical products and programs.Experience collaborating with product development and customer service teams.Clinical expertise in pharmacy benefit design and population health management.Strong written, verbal, and presentation skills, including the ability to explain clinical data and strategies to clients.Strong organizational skills, attention to detail, and the ability to manage multiple priorities.Proficiency in Microsoft Office and familiarity with Salesforce, DOMO, RXCurve, and other PBM platforms.A client-focused, solutions-oriented approach and the ability to work independently and across teams.Ability to work a onsite schedule in Montvale, NJ.Preferred QualificationsBoard certification, such as BCPS, BCACP, or BCOP.Compensation and BenefitsSalary: $102,000-$145,000 and Medical, Dental, Vision is available