RxSense

Clincial Consultant

Remote

Not SpecifiedCompensation
Junior (1 to 2 years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare Technology, Pharmacy BenefitsIndustries

Requirements

Candidates must possess a Doctor of Pharmacy (PharmD) degree or a bachelor’s degree in pharmacy, along with an active and unrestricted pharmacist license in any U.S. state. A minimum of one year of experience is required.

Responsibilities

The Clinical Consultant will serve as a clinical subject matter expert for assigned clients, offering guidance on pharmacy benefit design, formulary strategy, and utilization management protocols, collaborating with account management and benefits teams to implement and maintain client-specific formularies and UM programs, responding promptly to client inquiries and resolving issues efficiently, delivering data-driven recommendations, providing training and education to clients, supporting the modeling and development of custom client formularies, monitoring and assessing new drug approvals, participating in internal committees, executing formulary and utilization management changes, and working closely with internal teams to ensure client needs are met.

Skills

Clinical Guidance
Pharmacy Benefit Management
Utilization Management
Formulary Management
Platform Integration
Client Relationship Management
Industry Knowledge

RxSense

Pharmacy benefits management technology solutions

About RxSense

RxSense provides technology solutions for the pharmacy benefits management (PBM) industry, focusing on simplifying and optimizing the management of pharmacy benefits and claims. Its main product is an enterprise platform that integrates real-time business intelligence and analytics, allowing PBMs to gain actionable insights and make informed decisions to improve their operations. This platform is modular, enabling clients to customize their use and enhance care delivery. RxSense differentiates itself from competitors by offering APIs that ensure interoperability between different systems, complying with industry standards. The company's goal is to transform the PBM industry by providing tools that enhance efficiency and empower clients with timely data and insights.

Key Metrics

Boston, MassachusettsHeadquarters
2015Year Founded
GROWTH_EQUITY_VCCompany Stage
Data & Analytics, HealthcareIndustries
201-500Employees

Risks

Increased competition in the PBM space may pressure RxSense to innovate rapidly.
Partnership with Walgreens may expose RxSense to regulatory challenges.
Investment from Parthenon Capital could lead to strategic shifts causing internal disruptions.

Differentiation

RxSense offers a modular platform with real-time analytics for PBMs.
The company provides APIs compliant with FHIR and NCPDP standards for interoperability.
RxSense's platform delivers actionable insights for data-driven decision-making in pharmacy benefits.

Upsides

Partnership with Walgreens enhances consumer access to prescription discounts nationwide.
Growing demand for cloud-based healthcare solutions aligns with RxSense's offerings.
Collaboration with Scipher Medicine integrates precision medicine into pharmacy benefits management.

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