Clinical Account Executive, RPh

🕒 June 30

🏰 Missouri – Remote

🏰 Missouri – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧑‍💼 Account Executive

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Navitus Health Solutions

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2003

💼 Consulting

🛡️ Insurance

🏥 Healthcare

Consulting • Insurance • Healthcare

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