Remote Senior Health Plan Account Executive

Navitus; Richmond (VA); Remote; USD 120,000 - 155,000; Full time

Benefits offered by this job

Health insurance and benefits

PTO 20 days

Parental leave 4 weeks

9 holidays

401K match up to 5%

Adoption Assistance

Flexible Spending Account

Educational Assistance

Referral Bonus up to $750

Job summary

Navitus Health Solutions is seeking a Sr. Account Executive to own and manage highly complex client accounts within the PBM space.

You will lead executive‑level relationships, drive strategic plans, and deliver customized insights through QBRs and cross‑functional collaboration. The role emphasizes growth through upselling value‑added programs and translating clinical data into actionable client guidance, all while mentoring peers and coordinating with analytics, operations and product teams.

Qualifications

• 5–7 years leading highly complex PBM/healthcare client accounts.
• Experience managing executive‑level client, broker, and consultant relationships with significant customization.
• Experience leading QBRs and strategic client engagements addressing clinical trends and financial outcomes.
• 5 years resolving complex account issues with sound judgment and escalation when needed.
• Mentoring peers and contributing to cross‑functional initiatives to improve client outcomes.
• Working knowledge of claims adjudication processes and their impact on client outcomes.

Responsibilities

• Lead full strategic ownership of a highly complex book of business including employer groups and health plans.
• Direct client account strategy with planning, execution, and refinement based on trends and insights.
• Maintain executive‑level relationships with clients, brokers, and consultants.
• Guide QBRs with agendas, cross‑functional prep, and customized insights.
• Upsell value added programs and clinical offerings into client strategies.
• Translate reporting and clinical insights into actionable recommendations.
• Resolve complex client issues independently with escalation when necessary.
• Mentor Account Executives and lead internal task forces or workgroups.
• Other duties as assigned.

Skills

Strategic account management

Executive relationship management

QBR facilitation

Upselling and cross-selling

Data interpretation and insights

Mentoring peers

Education

Bachelor’s degree in business or healthcare administration

Tools

Analytics tools

Client reporting systems

Company platforms

Job description

Navitus Health Solutions is seeking a Sr. Account Executive to own and manage highly complex client accounts within the PBM space.

You will lead executive‑level relationships, drive strategic plans, and deliver customized insights through QBRs and cross‑functional collaboration. The role emphasizes growth through upselling value‑added programs and translating clinical data into actionable client guidance, all while mentoring peers and coordinating with analytics, operations and product teams.