[Hiring] Clinical Account Executive @Navitus Health Solutions

Role Description

The Clinical Account Executive (RPh) is responsible for being the clinical expert for all specialty medications across both the pharmacy and the medical benefit. This role will communicate with clients, brokers, consultants, prospects, physicians, nurses, pharmacists, and members related to specialty drugs management.

This role will be divided into two areas:

• Formulary development across pharmacy and medical benefits for specialty drugs
• Clinical management of accounts

Responsibilities include:

• Develop and deliver clinical messages to physicians, members, clients, and consultants.
• Manage formulary strategy and clinical policy development.
• Clinical program development including both medical and pharmacy benefit management.
• Define, document, and deliver results for plan sponsors.
• Evaluate and summarize clinical literature as well as financial implications related to medication management options.
• Complete clinical prior authorizations and retrospective reviews.
• Present deep clinical and cost effectiveness information as a peer-to-peer consult.
• Participate in, adhere to, and support compliance, people and culture, and learning programs.
• Perform other duties as assigned.

Qualifications

• Graduate of ACPE Accreditation School of Pharmacy with a B.S. Pharmacy or PharmD degree 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.
• Board of Pharmacy Certification preferred for Pharmacotherapy, Ambulatory Care, or Oncology Care.
• Pharmacy and Medical specialty benefit knowledge and clinical account management experience required.
• Former P&T Committee experience or formulary development experience required.
• 3-5 years clinical or managed care experience or Clinical/Managed Care Pharmacy Residency required.
• Microsoft Excel, Power Point and Word proficiency required.

Requirements

• Remote work is only available to residents of specific states: Alabama, Colorado, Florida, Georgia, Indiana, Illinois, Iowa, Kansas, Kentucky, Maryland, Minnesota, Missouri, New Hampshire, New Jersey, Ohio, Oklahoma, Pennsylvania, Tennessee, Texas, Virginia, Wisconsin.

Benefits

• Pay Range: USD $0.00 - USD $0.00 /Yr.