Clinical Account Executive, Specialty – Health Systems

🔥 0 minutes ago

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 maintain professional relationships with clinic contacts using a client-facing sales approach • Oversee prescription referrals and prior authorizations while ensuring regulatory and company compliance • Meet with Sales and Account Management leadership to evaluate progress, share account updates, and align clinical support with business objectives • Use electronic medical record tools to identify specialty medication referral optimization opportunities • Resolve clinic-related issues and coordinate with support teams for timely solutions • Liaise between medical staff, pharmacies, insurance providers, and patients • Follow up on accounts requiring clinical intervention or oversight and track progress • Support pharmacist workflows with clinical insights or workflow assistance when routine duties are complete • Use the CRM system to investigate contacts, track account activities, and maintain detailed records • Monitor the financial performance of claims and referrals and determine whether to retain or triage prescriptions • Use the Lumicera Prescriber Portal to communicate with and train accounts, prescribers, and staff • Uphold compliance objectives and adhere to federal and state laws • Perform additional tasks assigned by management • Coordinate minimal travel for account management purposes as needed

🎯 Requirements

• Bachelor’s degree in pharmacy or Pharm D required • Current, unrestricted licensure as a Registered Pharmacist in the state of residence, or ability to gain reciprocity within 4 months • 2 years in specialty pharmacy or a clinical account management role within healthcare • Proven experience in client-facing positions and clinical oversight • Participate in, adhere to, and support compliance program objectives • Ability to consistently interact cooperatively and respectfully with other employees • Must reside in an eligible US state; remote work is unavailable to residents of Alaska, Connecticut, Delaware, Hawaii, Idaho, Kansas, Kentucky, Maine, Massachusetts, Mississippi, Montana, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, Vermont, Washington DC, West Virginia, and Wyoming

🏖️ 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! • STAR Bonus % (At Risk Maximum) 10.00