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Navitus Health Solutions

Transparent PBM pass-through rebates for plans

Clinical Account Executive - Specialty, Rph

Account ManagementPosted on Nov 11
Full-timeRemote in USA$116k - $145k /yr

About the Job

Requirements

  • A bachelor's degree in pharmacy or a PharmD is required.
  • Current, unrestricted licensure as a Registered Pharmacist in the state of residence, or the ability to gain reciprocity within four months, may be required based on state residence laws or client contracts.
  • Other state pharmacy licenses may be required as business needs dictate.
  • Two years of experience 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.
  • Consistently interact cooperatively and respectfully with other employees.

Responsibilities

  • Develop and maintain professional relationships with clinic contacts, providing client-facing service to enhance satisfaction and confidence in Lumicera’s services.
  • Oversee the prescription referral process, including prior authorizations, ensuring compliance with regulatory and company standards and addressing clinical nuances for each account.
  • Meet frequently with Sales and Account Management leadership to evaluate progress, share account updates, and align clinical support with business objectives and clinic and patient needs.
  • Use tools within electronic medical records, where applicable, to identify opportunities for specialty medication referral optimization in collaboration with providers and internal stakeholders.
  • Serve as the primary point of contact for resolving clinic-related issues, using clinical expertise and coordinating with support teams to provide timely solutions.
  • Act as a liaison between medical staff, pharmacies, insurance providers, and patients, maintaining professional email and verbal communications.
  • Use communication platforms and protocols within electronic health records, where applicable, to support work with providers and their teams.
  • Follow up proactively with accounts requiring clinical intervention or oversight, track progress, and ensure issues are addressed.
  • Support pharmacist workflows with clinical insights or workflow assistance when routine duties are complete.
  • Use the customer relationship management (CRM) system to investigate contacts, track account activities, and maintain records.
  • Monitor the financial performance of claims and referrals submitted by prescribers, evaluating whether to retain or triage prescriptions to optimize revenue and patient outcomes.
  • Use the Lumicera Prescriber Portal to communicate with and train accounts, prescribers, and staff, enabling access to prescription referral updates and patient information.
  • Uphold compliance program objectives and adhere to federal and state laws and ethical standards.
  • Perform additional tasks as assigned by upper management.
  • Coordinate minimal account-management travel with the direct supervisor as needed.
  • Perform other duties as assigned.

About the Company

Navitus Health Solutions

Transparent PBM pass-through rebates for plans

Navitus Health Solutions is a pharmacy benefits manager that offers transparent pricing by passing 100% of negotiated rebates and discounts to its health-plan clients. It runs a spend-management clinical model designed to control drug costs from the outset while supporting member health, delivering both immediate value and long-term savings as drug spend trends are managed over time. The company markets its services through its portfolio brands—Navitus, Lumicera, and Archimedes—and serves over 18 million members across 800 clients, including public and private employers, unions, health plans, and health systems. It is owned by SSM Health and Costco Wholesale Corporation. Unlike traditional PBMs with opaque pricing, Navitus emphasizes transparency and direct savings for plan sponsors. The overarching goal is to reduce prescription drug costs for plans while improving member health outcomes.

Company size
1,001-5,000
Company stage
Not listed
Total funding
Not listed
Headquarters
Appleton, WI
Founded
2003

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