
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.
🔥 13 hours ago
🇺🇸 United States – Remote
💵 $101.3k - $126.7k / year
⏰ Full Time
🟠 Senior
🧑💼 Account Executive
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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.
• Lead full strategic ownership of a highly complex book of business, including employer groups, health plans, and multi-consultant relationships. • 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. • Guide Quarterly Business Reviews (QBRs), including agenda setting, cross-functional preparation, pre-review planning, and delivery of customized insights and recommendations. • Upsell value-added programs such as AGS, medical carveouts with Archimedes products, and clinical program offerings. • Translate complex reporting, claims adjudication concepts, and clinical insights into actionable recommendations. • Identify root causes of performance gaps across the end-to-end process. • Resolve complex client issues independently using operational, contractual, and clinical knowledge. • Mentor Account Executive team members through best-practice sharing, training materials, task forces, and workgroups. • Support organizational goals by strengthening client partnerships, increasing adoption of value-added programs, aligning solutions with clinical, financial, and utilization trends, and supporting sustainable growth. • Perform other duties as assigned.
• 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. • Ability to consistently interact cooperatively and respectfully with other employees. • Must be eligible to work in the United States; remote work is unavailable to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming.
• 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): 7.50%
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