Clinical Account Executive (RPh) - Archimedes
Navitus Health Solutions, LLC
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Benefits offered by this job
Job summary
Archimedes is seeking a Clinical Account Executive (RPh) to lead clinical expertise across specialty medications for both pharmacy and medical benefits. You will engage with clients, brokers, physicians, nurses, pharmacists, and members to guide formulary and utilization management decisions.
The role focuses on formulary development, clinical program performance, and collaboration with account teams to resolve member-specific issues. A pharmacy degree and active license are required.
Qualifications
- ACPE-accredited degree required (PharmD or B.S. Pharmacy).
- Current, unrestricted Pharmacist license in state of residence or reciprocity plan.
- 3–5 years of clinical or managed care experience preferred.
- Pharmacy and medical benefit knowledge with formulary experience.
- P&T committee or formulary development experience desired.
- Proficiency in Microsoft Excel, PowerPoint and Word.
Responsibilities
- Develop and communicate clinical recommendations and formulary messages to physicians, members, clients, consultants, and stakeholders.
- Support development and maintenance of pharmacy and medical benefit management programs.
- Partner with clients to report clinical program performance and outcomes.
- Evaluate literature and guidelines to assess effectiveness, safety, and value.
- Analyze utilization trends to identify opportunities for cost savings and improved outcomes.
- Perform prior authorizations, coverage determinations, and utilization reviews.
Skills
Education
Tools
Job description
Current associates must use SSO login option at https://employees-navitus.icims.com/ to be considered for internal opportunities.
We are committed to providing equal employment opportunity to all applicants and employees and comply with all applicable nondiscrimination regulations, including those related to protected veterans and individuals with disabilities. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, or handicap.
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!
- 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.
- 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.
- 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!
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