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Senior Account Executive

🕒 September 22

Where this job comes from

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

First seen by Remote Rocketship September 22

Still open on Navitus Health Solutions's site. Checked 4 hours 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

• Lead full strategic ownership of a highly complex book of business, including employer groups, health plans, and multi consultant relationships, ensuring long-term alignment with organizational objectives. • Direct client account strategy, including planning, execution, and ongoing refinement based on clinical trends, utilization data, and business insights. • Maintain trusted executive‑level relationships with clients, brokers, and consultants by demonstrating strong listening skills, professional judgment, and the ability to influence outcomes aligned with both client and company priorities. • Guide Quarterly Business Reviews (QBRs) by setting agendas, coordinating cross‑functional preparation, leading pre‑review planning sessions, and delivering customized insights and recommendations. • Upsell value added programs such as AGS, medical carveouts with Archimedes products, and clinical program offerings into client strategies based on identified needs and opportunities. • Translate complex reporting, claims adjudication concepts, and clinical insights into actionable recommendations, identifying root causes of performance gaps across the end‑to‑end process. • Resolve complex client issues independently by applying deep operational, contractual, and clinical knowledge, while exercising appropriate judgment on when escalation is necessary. • Mentor Account Executives team members by sharing best practices, producing training materials, and leading internal task forces or workgroups. • Other duties as assigned.

🎯 Requirements

• Bachelor’s degree in business, healthcare administration, or a related field, or equivalent work experience, required. • 5-7 years of progressive experience leading highly complex client accounts within the PBM, health plan, healthcare, or related benefits environment, including responsibility for overall account strategy, performance, and retention required. • 5 years of demonstrated success managing executive‑level client, broker, and consultant relationships, involving significant customization, financial impact, and strategic oversight required. • 5 years of experience leading Quarterly Business Reviews (QBRs) and other strategic client engagements that address clinical trends, financial outcomes, utilization patterns, and performance guarantees required. • 5 years of experience independently resolving complex account issues, applying sound judgment to determine when escalation is necessary versus when issues can be resolved without leadership involvement required. • 5 years of experience mentoring peers and contributing to formal or informal training, task forces, workgroups, or cross‑functional initiatives that improve client outcomes or operational effectiveness required. • 5 years of working knowledge of claims adjudication processes, including the ability to assess downstream impacts on client experience, financial outcomes, and clinical program performance required. • 5 years of experience using client reporting systems, analytics tools, and company platforms to interpret data, generate insights, and support proactive, strategic decision‑making required. • Participate in, adhere to, and support compliance program objectives. • The ability to consistently interact cooperatively and respectfully with other employees. • Remote work is available only to residents of Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Montana, Nebraska, Nevada, New Jersey, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Tennessee, Texas, Utah, Vermont, Virginia, Washington, Washington DC, Wisconsin.

🏖️ 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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