Clinical Account Executive (RPh) - Archimedes

Archimedes; Columbus (OH); Remote; USD 120,000 - 160,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

Paid time off

Parental leave

Paid holidays

401K match

Adoption assistance

FSA

Educational assistance

Professional memberships

Referral bonus

Job summary

Archimedes is seeking a Clinical Account Executive (RPh) to join our team. The role serves as the clinical expert for specialty medications across pharmacy and medical benefits, and requires collaboration with physicians, nurses, pharmacists, clients, brokers, consultants, and members.

You will lead formulary development, utilization management, and program implementation, while communicating program performance and recommendations to clients.

Qualifications

• Pharmacy degree from ACPE-accredited program.
• Current, unrestricted pharmacist license in state of residence.
• 3–5 years clinical or managed care experience required.
• Knowledge of pharmacy and medical benefits and formulary management.
• P&T committee or formulary development experience preferred.
• Proficient in Excel, PowerPoint, and Word.

Responsibilities

• Develop and communicate clinical recommendations and formulary messaging to physicians, members, and clients.
• Assist in development, implementation, and maintenance of pharmacy and medical benefit programs.
• Partner with clients to communicate clinical program performance and recommendations.
• Evaluate literature and guidelines to assess effectiveness, safety, and value.
• Analyze utilization trends to identify cost savings and better outcomes.
• Perform clinical prior authorization reviews and coverage determinations.
• Collaborate with teams to resolve member-specific clinical issues.
• Present clinical and pharmacoeconomic information to clients and clinicians.

Skills

Clinical account management

Formulary knowledge

Cross-functional collaboration

Communication with stakeholders

Regulatory awareness

Education

ACPE-accredited School of Pharmacy

B.S. Pharmacy or PharmD

Tools

Excel

PowerPoint

Word

Job description

Overview

Archimedes is seeking a Clinical Account Executive (RPh) to join our team!

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.

The Clinical Account Executive (RPh) will be the clinical subject matter expert for formulary and utilization management development and decision making. This role will be divided into two areas: formulary development across pharmacy and medical benefits for specialty drugs and clinical management of accounts.

Is this you? Find out more below!

Responsibilities

How do I make an impact on my team?

• Develop and communicate clinical recommendations, educational materials, and formulary-related messaging to physicians, members, clients, consultants, and other stakeholders. Support formulary management activities by evaluating medications, reviewing clinical evidence, and providing input into formulary and clinical policy recommendations.


• Assist in the development, implementation, and maintenance of 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.


• Other duties as assigned.

Qualifications

What our team expects from you?

• 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. Refer to the Licensure and Credentialing Verification P&P for current detail. Board of Pharmacy Certification preferred for Pharmacotherapy, Ambulatory Care, or Oncology Care.


• 3-5 years clinical or managed care experience or Clinical/Managed Care Pharmacy Residency required.


• Pharmacy and Medical specialty benefit knowledge and clinical account management experience required.


• Former P&T Committee experience or formulary development experience required.


• Microsoft Excel, Power Point and Word proficiency required.


• Participate in, adhere to, and support compliance program objectives.


• The ability to consistently interact cooperatively and respectfully with other employees.

What can you expect from Archimedes?

• 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!

#LI-Remote

Navitus Health Solutions is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, creed, sex, pregnancy, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, veteran status, or any other characteristic protected by law.

Equal employment opportunity, including veterans and individuals with disabilities.

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