Clinical Account Executive, RPh

🔥 3 minutes ago

🏰 Missouri – Remote

🏰 Missouri – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧑‍💼 Account Executive

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Navitus Health Solutions

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2003

⚕️ Healthcare Insurance

💊 Pharmaceuticals

🤝 B2B

Healthcare Insurance • Pharmaceuticals • B2B

Navitus Health Solutions is a pharmacy benefit manager (PBM) that provides transparent, people-centered pharmacy benefit solutions to health plans, employers, government programs and other plan sponsors. The company operates a 100% pass-through, cost-plus model that emphasizes lowering medication costs, managing formularies, specialty drug management (including a cost-plus specialty pharmacy), claims adjudication, pharmacy network management, and member enablement and support services. Navitus positions itself as a fiduciary partner focused on affordability, compliance, clinical quality and improving health outcomes through tailored PBM services and digital health integrations.

📋 Description

• Develop and deliver clinical messages to physicians, members, clients, and consultants. • Manage formulary strategy and clinical policy development. • Clinical program development including both medical and pharmacy benefit management. • Define, document, and deliver results for plan sponsors. • Evaluate and summarize clinical literature as well as financial implications related to medication management options. • Complete clinical prior authorizations and retrospective reviews. • Present deep clinical and cost effectiveness information as a peer-to-peer consult. • Participate in, adhere to, and support compliance, people and culture, and learning programs. • Perform other duties as assigned.

🎯 Requirements

• Graduate of ACPE Accreditation School of Pharmacy with a B.S. Pharmacy or PharmD degree required. • Current, unrestricted licensure as a Registered Pharmacist in the state of residence, or the ability to gain reciprocity within 4 months, may be required based on state of residence laws or client contracts. • Board of Pharmacy Certification preferred for Pharmacotherapy, Ambulatory Care, or Oncology Care. • Pharmacy and Medical specialty benefit knowledge and clinical account management experience required. • Former P&T Committee experience or formulary development experience required. • 3-5 years clinical or managed care experience or Clinical/Managed Care Pharmacy Residency required. • Microsoft Excel, Power Point and Word proficiency required.

🏖️ Benefits

• STAR Bonus % (At Risk Maximum) 5.00 • M-F 8am-5pm