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Navitus Health Solutions

Transparent PBM pass-through rebates for plans

Clinical Account Executive

PharmacyConfirmed live in the last 24 hours
Full-timeRemote in USANo salary listed

About the Job

Requirements

  • A B.S. Pharmacy or PharmD degree from an ACPE-accredited school of pharmacy 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 laws or client contracts.
  • Three to five years of clinical or managed care experience, or a Clinical/Managed Care Pharmacy Residency, is required.
  • Knowledge of pharmacy and medical specialty benefits and clinical account management experience are required.
  • Former P&T Committee experience or formulary development experience is required.
  • Proficiency in Microsoft Excel, PowerPoint, and Word is required.
  • Participate in, adhere to, and support compliance program objectives.

Responsibilities

  • Develop and communicate clinical recommendations, educational materials, and formulary-related messaging to physicians, members, clients, consultants, and other stakeholders.
  • Support formulary management by evaluating medications, reviewing clinical evidence, and providing input into formulary and clinical policy recommendations.
  • Assist in developing, implementing, and maintaining pharmacy and medical benefit management programs.
  • Partner with clients to communicate clinical program performance, outcomes, and recommendations.
  • Evaluate clinical literature, treatment guidelines, and emerging therapies to assess effectiveness, safety, and value.
  • Analyze utilization trends and clinical data to identify opportunities for improved medication use, cost savings, and member outcomes.
  • Perform clinical prior authorization reviews, coverage determinations, and retrospective medication utilization reviews.
  • Collaborate with operations, customer service, account management, and pharmacy teams to investigate and resolve member-specific clinical issues.
  • Partner with Account Managers and Account Executives to support client meetings, communicate clinical program performance, and address pharmacy-related questions.
  • Serve as a clinical resource and subject matter expert regarding specialty medications, formulary management, and utilization management programs.
  • Maintain knowledge of industry trends, regulatory requirements, and specialty pharmacy developments.
  • Present clinical, pharmacoeconomic, and specialty drug management information to clients, consultants, and healthcare professionals in a clear and actionable manner.
  • Perform other duties as assigned.

Desired Qualifications

  • Board of Pharmacy Certification in Pharmacotherapy, Ambulatory Care, or Oncology Care is preferred.

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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