Clinical Account Executive, Specialty – Health Systems

November 17

🥔 Idaho – Remote

Although this job is listed in Idaho, this company may be open to hiring remote in other states.

💵 $112.6k - $140.8k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🧑‍💼 Account Executive

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Navitus Health Solutions

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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.

1001 - 5000 employees

Founded 2003

⚕️ Healthcare Insurance

💊 Pharmaceuticals

🤝 B2B

📋 Description

• Develop and maintain robust, professional relationships with clinic contacts, delivering exceptional service with a client-facing sales approach to enhance satisfaction and confidence in Lumicera’s services. • Oversee the prescription referral process, including prior authorizations, ensuring compliance with regulatory and company standards while addressing clinical nuances specific to each account. • Meet frequently with Sales and Account Management leadership to evaluate progress, share account updates, and align clinical support with business objectives to meet clinic and patient needs. • Successfully utilizing tools within electronic medical records to identify opportunities for specialty medication referral optimization in collaboration with providers and internal stakeholders is expected, where applicable. • Serve as the primary point of contact for resolving clinic-related issues, leveraging clinical expertise and coordinating with support teams to ensure timely and effective solutions. • Act as a liaison between medical staff, pharmacies, insurance providers, and patients, ensuring all email and verbal interactions are professional, polished, and infused with a client-facing sales vibe to foster trust and engagement. • Where applicable, timely and effective use of communication platforms and protocols within electronic health records will be essential to driving success with providers and their teams. • Proactively follow up with all accounts requiring clinical intervention or oversight, tracking progress and ensuring issues are addressed to maintain high service levels. • When routine duties are complete, support pharmacist workflows by offering clinical insights or workflow assistance, optimizing team efficiency and patient outcomes. • Utilize the CRM system to investigate contacts, track account activities, and maintain detailed records to enhance client engagement and operational efficiency. • Monitor the financial performance of claims and referrals submitted by prescribers, evaluating whether to retain or triage prescriptions to optimize revenue and patient outcomes. • Use the Lumicera Prescriber Portal for communication and training of accounts and their respective prescribers and staff, enabling them to view and obtain Rx referral updates and patient information to enhance collaboration and efficiency. • Uphold compliance program objectives, adhering to all federal and state laws with the highest ethical standards. • Perform additional tasks as assigned by upper management to support Lumicera’s mission and operational success. Minimal travel may be required for account management purposes; coordinate with direct supervisor to arrange details as needed. Other duties as assigned.

🎯 Requirements

• Bachelor’s degree in pharmacy or Pharm D required. • Current, unrestricted licensure as a Registered Pharmacist in the state of residence, or the ability to gain reciprocity within 4 months. • 2 years in specialty pharmacy or a clinical account management role within healthcare, with proven experience in client-facing positions and clinical oversight. • 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!