Clinical Account Executive, Specialty

🔥 16 hours ago

Where this job comes from

Posted on Navitus Health Solutions's careers page, not through a job board

First seen by Remote Rocketship 16 hours ago

Still open on Navitus Health Solutions's site. Checked 1 hour ago.

Logo of Navitus Health Solutions

Navitus Health Solutions

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 by leveraging clinical expertise and coordinating with support teams. • Liaise between medical staff, pharmacies, insurance providers, and patients. • Follow up on accounts requiring clinical intervention or oversight and track issue resolution. • 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 financial performance of claims and referrals, triaging prescriptions to optimize revenue and patient outcomes. • Use the Lumicera Prescriber Portal for account communication and training. • Uphold compliance with federal and state laws and perform additional assigned duties. • Minimal travel may be required for account management purposes.

🎯 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, may be required based on state of residence laws or client contracts. • Other State Pharmacy Licenses may be required as business need dictates. • 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. • Ability to consistently interact cooperatively and respectfully with other employees. • Remote work is offered only to residents of Arizona, Alabama, Arkansas, California, Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Louisiana, Maryland, Michigan, Minnesota, Missouri, Nebraska, Nevada, New Jersey, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Tennessee, Texas, Utah, Virginia, Washington, or Wisconsin. • M-F 8am to 5pm work schedule.

🏖️ 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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