Clinical Account Executive, RPh

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $116k - $145k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧑‍💼 Account Executive

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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

• Manage the clinical relationships with clients • Attend and lead client meetings and actively participate as necessary • Develop and implement clinical plans aligned with client goals and corporate business strategy • Identify expansion opportunities and incorporate them into strategic plans • Analyze client financial and utilization data to identify opportunities to improve care and control drug and overall health care costs • Recommend and oversee implementation of select clinical programs • Communicate client needs and process/product development opportunities to the organization • Participate in developing clinical and overall client/account strategies • Consult on plan and benefit design recommendations • Participate in developing and delivering annual client reviews • Establish and maintain relationships with medical and pharmacy directors, CEOs, 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 • Consult on formulary management and administration • Evaluate clinical programs and services on an ongoing basis • Lead/facilitate multidisciplinary teams addressing client needs • Represent the company at internal and external meetings • Support account retention and business growth

🎯 Requirements

• Bachelor’s degree in Pharmacy or PharmD required • Current, unrestricted licensure as a Registered Pharmacist in the state of residence, or the ability to gain reciprocity within 4 months, required • MBA or equivalent preferred • 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 • May require up to 20% travel • M-F 8am to 5pm CT

🏖️ 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!