[Hiring] Senior Clinical Account Executive @Navitus Health Solutions, LLC

Role Description

Due to growth, we are adding a Sr. Clinical Account Executive to our team. The Sr. Clinical Account Executive is an advanced individual contributor who manages clinical strategies for complex employer and health plan accounts with high customization, elevated service needs, and complex benefit designs. Reporting to the Director of Clinical Account Management, this role leads clinical client relationships as the primary strategic clinical partner, independently manages account clinical strategy, resolves complex clinical situations, and engages executive-level client and consultant stakeholders. The position applies a proactive, consultative, and comprehensive approach to recommend, implement, and evaluate clinical programs and services designed to improve quality of care, support patient health outcomes, and manage prescription drug costs.

Responsibilities

• Manage clinical relationships for assigned complex employer and health plan clients, aligning clinical strategies with client objectives, improved health outcomes, and prescription drug cost management.
• Build trusted relationships with clients, brokers, consultants, and executive stakeholders through clinical expertise, strategic guidance, and consistent engagement.
• Develop and recommend client-specific clinical strategies, benefit design enhancements, formulary approaches, and pharmacy benefit solutions aligned with client goals and governance standards.
• Lead clinical discussions during client meetings, including Quarterly Business Reviews, annual reviews, and Pharmacy & Therapeutics Committees, by presenting insights, recommendations, and evidence-based decision support.
• Direct implementation of approved clinical programs, formulary strategies, and benefit design changes, using utilization, market, financial, and performance data to evaluate effectiveness, identify opportunities, and communicate actionable insights.
• Resolve complex clinical, member, and client issues by identifying root causes, coordinating cross-functional resources, and implementing timely, effective solutions.
• Contribute to enterprise-level clinical strategy by representing client perspectives, sharing market insights, and supporting organizational priorities.
• Train and mentor Clinical Account Executive associates to support clinical account management consistency, knowledge sharing, and professional development.
• Maintain proficiency in drug literature, clinical guidelines, emerging therapies, formulary management, reporting systems, and analytics tools to support evidence-based client recommendations.
• May require up to 20% travel.
• Other duties as assigned.

Qualifications

• Bachelor’s degree in Pharmacy or PharmD degree required. MBA or equivalent preferred.
• 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.
• 3-5 years of progressive experience in Pharmacy, PBM, health plan, healthcare, or related benefits environments required.
• 3+ years leading highly complex client accounts within the PBM, health plan, healthcare, or related benefits environment, including responsibility for overall clinical strategy, performance, and retention required.
• 3+ years 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.
• 3+ years working knowledge of claims adjudication processes, including the ability to assess downstream impacts on client experience, financial outcomes, and clinical program performance required.
• 3+ years experience using reporting systems, analytics platforms, or company tools to support client decision-making required.
• Experience using Microsoft applications including PowerPoint, Excel and Teams.
• Participate in, adhere to, and support compliance program objectives.
• The 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!

Company Description

Navitus is only able to offer remote work to residents of specific states.