Clinical Account Executive, RPh

🔥 1 minute ago

🏈 Alabama, Colorado, +18 more states – Remote

🏈 Alabama – Remote ⛰️ Colorado – Remote 🐊 Florida – Remote 🌽 Illinois – Remote 🌾 Iowa – Remote 🌪️ Kansas – Remote 🐎 Kentucky – Remote 🗻 New Hampshire – Remote 🏖️ New Jersey – Remote 🏈 Ohio – Remote 🌪️ Oklahoma – Remote 🦀 Maryland – Remote ❄️ Minnesota – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⚔️ Virginia – Remote 🧀 Wisconsin – Remote 🍑 Georgia – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧑‍💼 Account Executive

👻 Ghost score 10%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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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

• Develop and communicate clinical recommendations, educational materials, and formulary-related messaging to physicians, members, clients, consultants, and other stakeholders. • Support formulary management by evaluating medications, reviewing clinical evidence, and providing input into formulary and clinical policy recommendations. • Assist in developing, implementing, and maintaining pharmacy and medical benefit management programs. • Partner with clients to communicate clinical program performance, outcomes, and recommendations. • Evaluate clinical literature, treatment guidelines, and emerging therapies for effectiveness, safety, and value. • Analyze utilization trends and clinical data to identify opportunities for improved medication use, cost savings, and member outcomes. • Perform clinical prior authorization reviews, coverage determinations, and retrospective medication utilization reviews. • Collaborate with operations, customer service, account management, and pharmacy teams to investigate and resolve member-specific clinical issues. • Support client meetings and address pharmacy-related questions with Account Managers and Account Executives. • Serve as a clinical subject matter expert regarding specialty medications, formulary management, and utilization management programs. • Maintain knowledge of industry trends, regulatory requirements, and specialty pharmacy developments. • Present clinical, pharmacoeconomic, and specialty drug management information to clients, consultants, and healthcare professionals.

🎯 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. • 3-5 years clinical or managed care experience or Clinical/Managed Care Pharmacy Residency required. • Pharmacy and Medical specialty benefit knowledge and clinical account management experience required. • Former P&T Committee experience or formulary development experience required. • Microsoft Excel, Power Point and Word proficiency required. • Participate in, adhere to, and support compliance program objectives. • 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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