Clinical Account Executive, RPh

🔥 11 minutes ago

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Logo of Navitus Health Solutions

Navitus Health Solutions

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

• Manage the clinical relationships with clients • Attends and leads client meetings and actively participates as necessary • Develop and implement a clinical plan that meets the goals and objectives of the client and is in alignment with corporate business strategy • Identifies expansion opportunities and incorporates into strategic plan • Analyze client’s financial and utilization data to identify opportunities for improving health care and/or controlling drug and overall health care costs • Recommend and oversee implementation of select clinical programs • Effectively communicate client needs and process/product development opportunities to the organization • Actively participate in developing the clinical strategy for client • Participate in developing overall client/account strategy • Consultant on Plan/Benefit design recommendations • Participate in development and delivery of annual reviews to client • Establish and maintain client relationships at the appropriate levels, including medical and pharmacy directors, CEO’s, benefit managers and consultants • Provide Drug information and act as the clinical consultant/expert on the account team • Support and participate in P & T Committees for select clients • Consultant for formulary management and administration • Provide ongoing evaluation of clinical programs and services • Lead/Facilitate in multi-disciplinary team to discuss the ongoing needs of the clients • May require up to 20% travel

🎯 Requirements

• Bachelor’s degree in Pharmacy or PharmD required • MBA or equivalent preferred • Current, unrestricted licensure as a Registered Pharmacist in the state of residence, or the ability to gain reciprocity within 4 months, required • Knowledge of the PBM industry, PBM clinical programs, pharmacy claims, and managed care principles and practices preferred • Proficiency in MS Word, Excel, and PowerPoint including use of tables, charts and figures preferred • Participate in, adhere to, and support compliance program objectives • The ability to consistently interact cooperatively and respectfully with other employees

🏖️ Benefits

• Top of the industry benefits for Health, Dental, and Vision insurance • 20 days paid time off • 4 weeks paid parental leave • 9 paid holidays • 401K company match of up to 5% - No vesting requirement • Adoption Assistance Program • Flexible Spending Account • Educational Assistance Plan and Professional Membership assistance • Referral Bonus Program – up to $750!

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